Individual
WISARYS MOLINA VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
465 AVE HOSTOS URB. VEDADO, SAN JUAN, PR 00918-3014
(787) 946-4501
Mailing address
RR 2 BOX 3017, TOA ALTA, PR 00953-9664
(787) 464-8082
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4092
PR
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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