Individual
MRS. WANDA I DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE 1 B 6 VILLAS DEL MADRIGAL, CAROLINA, PR 00987
(787) 769-8224
Mailing address
CALLE 1 B 6, VILLAS DEL MADRIGAL, CAROLINA, PR 00987-0000
(787) 769-8224
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
005010
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2275625
LICENSE
PR
Enumeration date
02/05/2007
Last updated
07/08/2007
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