Individual
LETICIA VALLEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
385 CALLE MANUEL DOMENECH, SAN JUAN, PR 00918-3718
(787) 649-1928
(787) 771-9715
Mailing address
385 CALLE MANUEL DOMENECH, SAN JUAN, PR 00918-3718
(787) 649-1928
(787) 771-9715
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
2531
PR
164W00000X
Licensed Practical Nurse
029473
PR
164W00000X
Licensed Practical Nurse
RN9217270
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2531
C.W.S.
PR
Enumeration date
05/16/2012
Last updated
09/10/2012
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