Individual
MISS LIANA BEATRIZ BLANCO FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
URB. COVADONGA 3F-16 CALLE RECONQUISTA, TOA BAJA, PR 00949-5318
(787) 612-4666
Mailing address
URB. COVADONGA 3F-16 CALLE RECONQUISTA, TOA BAJA, PR 00949-5318
(787) 612-4666
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8736
PR
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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