Individual
AMILSA IVELISSE AYALA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
182 CALLE PRINCIPAL, MONTESORIA 1, AGUIRRE, PR 00704
(939) 416-3389
Mailing address
182 CALLE PRINCIPAL, MONTESORIA 1, AGUIRRE, PR 00704
(939) 416-3389
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13286
PR
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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