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Individual

MRS. VIOLETA COLLAZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2431 AVE LAS AMERICAS EDIF PORRATA PILA SUITE 200, PONCE, PR 00731
(787) 841-6808
(787) 841-6808
Mailing address
PO BOX 10369, PONCE, PR 00732-0369
(787) 841-6808
(787) 841-6808

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
066
PR

Other

Enumeration date
08/29/2006
Last updated
05/14/2008
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