Individual
STEPHANIE MATOS QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 CALLE SOL # 118, PONCE, PR 00730-4881
(787) 284-2900
Mailing address
PO BOX 65, AGUADA, PR 00602-0065
(787) 431-0502
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
6830
PR
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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