Individual
STEPHANY MICHELLE ROSALY SAMPOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1349 CALLE SALUD STE 4, PONCE, PR 00717-2017
(787) 290-4000
Mailing address
1349 CALLE SALUD STE 4, PONCE, PR 00717-2017
(787) 290-4000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4124
PR
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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