Individual
ILIANNE MARIE LOUCIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N28 URB JESUS M LAGO, UTUADO, PR 00641-2408
(787) 485-3753
Mailing address
N28 URB JESUS M LAGO, UTUADO, PR 00641-2408
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
89688
PR
163W00000X
Registered Nurse
89688
PR
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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