Individual
MISS GLADYSBEL DORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL TECHNOLOGIST
Contact information
Practice address
5 CALLE T JORDAN CORREA, UTUADO, PR 00641-2880
(787) 894-1145
Mailing address
PO BOX 143281, ARECIBO, PR 00614-3281
(787) 454-4368
(787) 880-3920
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
573
PR
Other
Enumeration date
02/05/2009
Last updated
05/04/2009
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