Individual
WANDA I. IZQUIERDO VALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
226 COSTA NORTE ESTRELLA DE MAR, 226, HATILLO, PR 00659-0065
(787) 310-5821
Mailing address
226 CALLE ESTRELLA DE MAR # 226, HATILLO, PR 00659-2747
(787) 310-5821
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2067
PR
Other
Enumeration date
08/11/2022
Last updated
09/01/2022
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