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Individual

KEILA YASIRIS MENDOZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYCHOLOGIST

Contact information

Practice address
54 CALLE PINERO, SAN JUAN, PR 00925-3613
(787) 767-3655
Mailing address
A42 CALLE 1, SAN JUAN, PR 00921-4839
(787) 674-6482

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
5368
PR
103TC1900X
Counseling Psychologist
Primary
5368
PR

Other

Enumeration date
09/22/2014
Last updated
03/06/2023
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