Individual
EVELYN ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
D12 CALLE MIS AMORES, CAGUAS, PR 00725-5821
(787) 930-3144
Mailing address
D12 CALLE MIS AMORES, CAGUAS, PR 00725-5821
(787) 930-3144
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
7064
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7064
PSYCHOLOGY/COUNSELING
PR
Enumeration date
07/07/2021
Last updated
07/07/2021
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