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Individual

DR. NICELIA RAQUEL PENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
FLAMBOYAN 237, LAJAS, PR 00667
(787) 809-1835
(787) 899-5141
Mailing address
SO23 CALLE LIMA, VALLE HERMOSO, HORMIGUEROS, PR 00660-1230
(787) 452-3612

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2496
PR

Other

Enumeration date
04/26/2007
Last updated
07/08/2007
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