Individual
MELITZIE FRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
LOIZA VALLEY SHOPPING CENTER, LOCAL AA-6, CANOVANAS, PR 00729
(787) 648-4863
Mailing address
LOIZA VALLEY SHOPPING LOCAL AA-6, CANOVANAS, PUERTO RICO 00729
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19108
PR
Other
Enumeration date
01/19/2012
Last updated
04/12/2012
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