Individual
KEISHA COSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HC 70 BOX 49706, SAN LORENZO, PR 00754-9933
(939) 640-4388
Mailing address
HC 70 BOX 49706, SAN LORENZO, PR 00754-9933
(939) 640-4388
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
8463
PR
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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