Individual
OMAYRA ALICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
435 AVE HOSTOS, SAN JUAN, PR 00918-3014
(787) 995-2700
Mailing address
PO BOX 367221, SAN JUAN, PR 00936-7221
(787) 753-9515
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2713
PR
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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