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Individual

KARLA MICHELLE DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CERT.010858

Contact information

Practice address
174 CALLE LUIS BARRERAS S, CAYEY, PR 00736-4615
(787) 738-3011
(787) 738-0042
Mailing address
E8 CALLE 13, JARDINES DE CAYEY 1, CAYEY, PR 00736-4042
(787) 450-4841
(787) 738-0042

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
010858
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010858
PMP
PR
Enumeration date
02/07/2022
Last updated
02/07/2022
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