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Individual

MRS. MORAIMA E MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
CALLE LUIS H LACOMBA #61, HATILLO, PR 00659
(787) 898-3343
Mailing address
PO BOX 1078, HATILLO, PR 00659-1078
(787) 618-5519

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
8556
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8556
PHARMACY TECHNICIAN STATE LICENSE
PR
Enumeration date
02/08/2012
Last updated
02/08/2012
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