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Individual

JERRY MELECIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM AUX

Contact information

Practice address
CALLE #4 H-17, JARDINES DE DORADO, DORADO, PR 00646-0142
(787) 796-4329
Mailing address
PO BOX 142, DORADO, PR 00646-0142
(787) 796-4329

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
1978
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1576933
DRIVERS LICENCE
PR
Enumeration date
10/12/2006
Last updated
07/08/2007
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