Individual
VILMANIA G. MAMBRU TAVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
URB ALTURAS DE RIO GRANDE, AA5 CALLE C, RIO GRANDE, PR 00745-0000
(787) 887-5900
Mailing address
URB VILLAS DE CAMBALACHE I, N15 CEDRO STREET BUZON 112, RIO GRANDE, PR 00745-0000
(787) 887-5900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2488
PR
Other
Enumeration date
03/07/2006
Last updated
08/17/2009
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