Individual
HEIDY RUBI CASILLAS VICENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LND
Contact information
Practice address
10 CALLE JOAQUIN POUPART, LAS PIEDRAS, PR 00771
(939) 400-7757
Mailing address
10 CALLE JOAQUIN POUPART, LAS PIEDRAS, PR 00771
(939) 400-7757
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
2232
PR
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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