Individual
ELSIE SEPULVEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
8 CALLE SATURNINO RODRIGUEZ, YABUCOA, PR 00767
(787) 515-8258
Mailing address
PO BOX 2050, YABUCOA, PR 00767-2050
(787) 515-8258
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5635
PR
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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