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Individual

NELITZA M CONCEPCION QUINONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
EDIFICIO COMERCIAL LOCAL 1, URB. CATALANA #66, BARCELONETA, PR 00617-0061
(787) 915-3000
Mailing address
2 CALLE A1, VEGA BAJA, PR 00693-5124
(787) 904-2743

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
1160
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4678414
DRIVERS LICENSE
PR
Enumeration date
07/14/2021
Last updated
07/14/2021
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