Individual
MISS SHELITZA ENID CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
AVENIDA LAURO PINERO NUM 190, CEIBA, PR 00735
(787) 349-2172
Mailing address
URB. VILLA CLARITA CALLE E, D 22, FAJARDO, PR 00738
(787) 349-2172
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3991
PR
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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