Individual
IVELISSE NIEVES CASTELLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
COND PALMAS DE MONTEBELLO CALLE MARGINAL, APT 202 745, TRUJILLO ALTO, PR 00976
(787) 249-0242
Mailing address
PO BOX 371, TRUJILLO ALTO, PR 00977-0371
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6398
PR
Other
Enumeration date
11/18/2021
Last updated
02/23/2022
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