Individual
MRS. ILSIA ALICEA-POU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LND
Contact information
Practice address
AVE. HOSTOS 1034 PONCE, P.R. 00716-1415, PONCE, PR 00716-1415
(787) 843-9393
(787) 284-4228
Mailing address
APARTADO 220 MERCEDITA P.R. 00715-0220, PONCE, PR 00716-1415
(787) 843-9393
(787) 284-4228
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1101
PR
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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