Individual
JACQUELINE VIDOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
152 JOSE RODRIGUEZ IRIZARRY AVE., ARECIBO, PR 00612
(787) 881-2440
(787) 880-3258
Mailing address
HC-02 BOX 7264, BARCELONETA, PR 00617
(787) 815-1108
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4324
PR
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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