Individual
MELIDA CUSTODIO MIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE 22 Y 1 AVE 19, LAS VEGAS, CATANO, PR 00962
(787) 328-6696
Mailing address
CALLE 22 Y 1 AVE 19, LAS VEGAS, CATANO, PR 00962
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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