Individual
CARLA FABIAN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LND, MHSCN
Contact information
Practice address
1777 CARR 844, SAN JUAN, PR 00926-4434
(787) 748-9955
Mailing address
6501 CARR 844 APT 202, SAN JUAN, PR 00926-7824
(787) 224-7104
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1856
PR
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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