Individual
ODALYS VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDA
Contact information
Practice address
CARR. 159 KM 13.2 COROZAL SHOPPING VILLAGE SEGUNDA PLA, LOCAL 17-A URB. LOMA LINDA, COROZAL, PR 00783
(787) 503-9053
Mailing address
PO BOX 917, COROZAL, PR 00783-0917
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
5174
PR
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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