Individual
WILDALLYS GONZALEZ HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
CARR # 2 KM 117.6, BO CEIBA BAJA, AGUADILLA, PR 00603
(787) 387-3840
Mailing address
HC 3 BOX 8182, MOCA, PR 00676-9226
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4123
PR
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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