Individual
PAMELA VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 780, VEGA ALTA, PR 00692-0780
(787) 407-0849
Mailing address
PO BOX 780, VEGA ALTA, PR 00692-0780
(787) 407-0849
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8318
PR
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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