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Individual

NEYSA SUJELLY FABRE-PACHECO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
B19 CALLE FICUS, YAUCO, PR 00698-4081
(787) 217-3430
Mailing address
B19 CALLE FICUS, YAUCO, PR 00698-4081
(787) 217-3430

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ9937
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5085516
DRIVER LICENCE
PR
Enumeration date
02/08/2021
Last updated
02/08/2021
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