Individual
DR. WALESKA SOCORRO PABON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
2020
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065162
CRUZ AZUL
PR
01
—
21124
TRIPLESS
PR
Enumeration date
05/14/2007
Last updated
07/08/2007
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