Individual
NICOLE JAIRENE BAEZ TJONAFOEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 PASEO DEL VETERANO, PONCE, PR 00716-2001
(787) 943-9091
Mailing address
VILLA UNIVERSITARIA, #D24 CALLE 10, HUMACAO, PR 00791
(787) 943-9091
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PR
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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