Individual
PRISCILLA MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
LA FLORESTA, 742, BAYAMON, PR 00956
(787) 923-1424
Mailing address
PO BOX 1750, COROZAL, PR 00783-1750
(787) 923-1424
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
05940
PR
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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