Individual
MISS JOANNE MARIE PERDOMO FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 AVE LOMAS VERDES # A2, BAYAMON, PR 00956-3177
(787) 365-3115
Mailing address
RR 2 BOX 4049, TOA ALTA, PR 00953-7003
(787) 365-3115
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
PR
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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