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Individual

TATIANA CORREA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
PALACIOS DEL ESCORIAL APT 1410, CAROLINA, PR 00987
(786) 740-6858
Mailing address
PALACIOS DEL ESCORIAL APT 1410, CAROLINA, PR 00987
(786) 740-6858

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
03/25/2019
Last updated
03/25/2019
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