Individual
BETHZAIDA COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 CALLE JUNCOS, CAGUAS, PR 00727-4956
(787) 745-9567
Mailing address
PO BOX 370997, CAYEY, PR 00737-0997
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2689
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2689
STATE LICENSE
PR
Enumeration date
03/13/2007
Last updated
07/08/2007
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