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Individual

DR. TANIA AVILA LASALLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
CALLE 2 D8 CUPEY GARDENS, SAN JUAN, PR 00926
(939) 274-3301
Mailing address
STREET 2 D8 CUPEY GARDENS, SAN JUAN, PR 00926
(939) 274-3301

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6783
PR

Other

Enumeration date
09/16/2021
Last updated
09/16/2021
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