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Individual

EDA LEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
61 CALLE PALMER, CANOVANAS, PR 00729-3116
(787) 256-7642
(787) 256-7642
Mailing address
PO BOX 6017, PMB 150, CAROLINA, PR 00984-6017
(787) 237-8944
(787) 946-4294

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
828
PR
133NN1002X
Nutrition Education Nutritionist
828
PR

Other

Enumeration date
08/26/2014
Last updated
08/26/2014
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