Individual
LORNA L BOU AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
819 HOSTOS AVE., PONCE, PR 00717
(787) 841-8686
(787) 843-1288
Mailing address
3 SKYTOWER APT. 12-I, SAN JUAN, PR 00926
(787) 547-1187
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2385
PR
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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