Individual
ISMARIE LEBRON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 CALLE MUNOZ RIVERA, MAUNABO, PR 00707-2148
(787) 943-4841
(393) 329-7082
Mailing address
24 CALLE MUNOZ RIVERA, MAUNABO, PR 00707-2148
(787) 943-4841
(939) 329-7082
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
9426
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9426
STATE LICENSE
PR
Enumeration date
10/17/2014
Last updated
10/17/2014
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