Individual
MISS WANDA I DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 CALLE MUNOZ RIVERA, JUNCOS, PR 00777-3114
(787) 734-3055
(787) 734-3180
Mailing address
URB. VALLE DEL TESORO #41 CALLE TURQUESA, GURABO, PR 00778
(787) 313-0311
(787) 734-3180
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
1301
PR
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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