Individual
MISS BRENDA IVETTE CABOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
URB. SANTA ELENA #3 D-1, CARR 363 KM 1.7 BO. LA MAQUINA, SABANA GRANDE, PR 00637
(787) 873-4936
Mailing address
ST. 3 D-1 URB. SANTA ELENA, SABANA GRANDE, PR 00637
(787) 873-4936
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
4896
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4896
SATE LICENSE
PR
Enumeration date
10/31/2007
Last updated
10/31/2007
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