Individual
NELSON G GONZALEZ-CANDELARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
COSTCO WHOLESALE WAREHOUSE, PR2 KM 15.5, BAYAMON, PR 00961
(787) 474-6930
Mailing address
COSTCO WHOLESALE WAREHOUSE, PR2 KM 15.5 HATO TEJAS, BAYAMON, PR 00961
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6525
PR
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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