Individual
SULLYMAR BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
441 CALLE TARRAGONA, CAGUAS, PR 00727-1421
(787) 378-0095
Mailing address
441 CALLE TARRAGONA, CAGUAS, PR 00727-1421
(787) 378-0095
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
000149
PR
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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