Individual
MISS GRETCHER SANTIAGO VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 194807, SAN JUAN, PR 00919-4807
(939) 539-4739
Mailing address
PO BOX 533, AGUADILLA, PR 00605-0533
(787) 310-4656
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7463
PR
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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