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Individual

MISS CORAIMA DE JESUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
105 AVE ARTERIAL HOSTOS, SAN JUAN, PR 00918-2978
(939) 579-5287
Mailing address
105 AVE ARTERIAL HOSTOS, SAN JUAN, PR 00918-2978
(939) 579-5287

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
064263
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/26/2021
Last updated
11/12/2024
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