Individual
MRS. NANCY CANUELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
148 AVE PEDRO ALBIZU CAMPOS, AGUADILLA, PR 00603-5726
(787) 891-6835
(787) 891-6835
Mailing address
148 AVE PEDRO ALBIZU CAMPOS, AGUADILLA, PR 00603-5726
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102231
LIC #
PR
Enumeration date
02/12/2007
Last updated
07/11/2007
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