Individual
JOHANNA FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
AVENIDA HOSTOS #69 SANTA JUANITA, BAYAMON, PR 00956
(787) 785-8787
Mailing address
RR 11 BOX 5903, BAYAMON, PR 00956-9717
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
6399
PR
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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