Individual
MAYRABETH ATILANO COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARRETERA 405 KM 2.4, BARRIO CARRERAS, ANASCO, PR 00610-9057
(970) 402-1284
Mailing address
RR 4 BOX 5602, ANASCO, PR 00610-9057
(970) 402-1284
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
091559
PR
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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