Individual
LEISSA BERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HC 3 BOX 10481, COMERIO, PR 00782-9554
(787) 487-9799
Mailing address
HC 3 BOX 10481, COMERIO, PR 00782-9554
(787) 487-9799
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
004689
PR
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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