Individual
RAHELI DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARRETERA #2 BARRIO CANTERA # 31, MANATI, PR 00674
(787) 423-9996
Mailing address
PO BOX 479, DORADO, PR 00646-0479
(787) 423-9996
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
414
PR
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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