Individual
MRS. ELSIE L VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
654 CALLE JURIEL, CIUDAD INTERAMERICANA, BAYAMON, PR 00956-6814
(787) 349-8183
Mailing address
GARDENIA ST. EXTENCION CAMPO ALEGRE, B 3, BAYAMON, PR 00956
(787) 349-8183
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1932
PR
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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