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Individual

WANDA IVETTE VEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHTECH

Contact information

Practice address
HC 04 BOX 17692, SECTOR LOS PADINES, CAMUY ARRIBA, CAMUY, PR 00627-9704
(787) 201-2808
(787) 816-5837
Mailing address
HC 04 BOX 17692, SECTOR LOS PADINES, CAMUY ARRIBA, CAMUY, PR 00627-9704
(787) 201-2808
(787) 816-5837

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5525
PR

Other

Enumeration date
05/02/2008
Last updated
05/02/2008
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