Individual
IVELISSE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2D9 CALLE 56, LOMAS DE CAROLINA, CAROLINA, PR 00987-8055
(787) 668-7152
(787) 256-0172
Mailing address
2D9 CALLE 56, LOMAS DE CAROLINA, CAROLINA, PR 00987-8055
(787) 668-7152
(787) 256-0172
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2444
PR
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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