Individual
MARICELIS SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
6704
Contact information
Practice address
X1 CALLE 17, ROYAL TOWN, BAYAMON, PR 00956-4534
(787) 620-9601
Mailing address
X1 CALLE 17, ROYAL TOWN, BAYAMON, PR 00956-4534
(787) 620-9601
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
6704
PR
Other
Enumeration date
07/27/2007
Last updated
12/09/2014
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