Individual
MRS. AWILDA DORVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
CALLE 49 NO. 240, COND. TORRES DE CERVANTES APT. 1105-B, SAN JUAN, PR 00924
(787) 754-1761
Mailing address
CALLE 49 NO. 240, COND. TORRES DE CERVANTES APT. 1105-B, SAN JUAN, PR 00924
(787) 754-1761
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
61213
PR
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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