Individual
VANESSA HERNANDEZ AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
U4 CALLE 22, URB SUNVILLE, TRUJILLO ALTO, PR 00776
(787) 546-5309
Mailing address
U4 CALLE 22, URB SUNVILLE, TRUJILLO ALTO, PR 00976
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13123
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13123
—
PR
Enumeration date
05/22/2017
Last updated
05/22/2017
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