Individual
MISS NYDIA L SEPULVEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
HOSPITAL SIQUIATRIA FORENSE- AVE. TITO CASTRO, PONCE, PR 00732-7321
(787) 382-5142
Mailing address
PO BOX 615, ADJUNTAS, PR 00601-0615
(787) 382-5142
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10813
PR
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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