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Individual

GRACE E. WANDERSLEBEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
CARRETERA 188 KM 1.5 BARRIO SAN ISIDRO, CANOVANAS, PR 00729-3998
(787) 957-2020
Mailing address
PO BOX 155, RIO GRANDE, PR 00745-0155
(787) 240-6585

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
022070
PR

Other

Enumeration date
10/25/2020
Last updated
03/23/2022
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