Individual
MRS. YAILEEN HERNANDEZ HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
135 CALLE PROGRESO, AGUADILLA, PR 00603-4802
(787) 215-0547
Mailing address
PO BOX 51, AGUADILLA, PR 00605-0051
(787) 215-0547
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
333778
CA
235Z00000X
Speech-Language Pathologist
Primary
4145
PR
Other
Enumeration date
07/06/2022
Last updated
08/30/2022
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