Individual
MS. FREDDY MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARRETERA 687 PARCELA 136 BO SABANA SECA, SABANA SECA, TOA BAJA, PR 00952
(787) 479-3763
Mailing address
PO BOX 1404, SABANA SECA, TOA BAJA, PR 00952
(787) 479-3763
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5540
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5540
5540
PR
Enumeration date
05/31/2007
Last updated
07/08/2007
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