Individual
KRYSTLE MARIE FELICIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
LOIZA VALLEYSHOPPING CENTER, LOCAL AA-6, CANOVANAS, PR 00729
(787) 256-0273
(787) 876-7856
Mailing address
EXT MELENDEZ, CALLE F #56, FAJARDO, PR 00738
(939) 278-9579
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24812
PR
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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