Individual
LISANDRA FELICIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 417 KIL 3.4, BO. GUANABANO, AGUADA, PR 00602
(787) 205-8765
Mailing address
HC 56 BOX 4639, AGUADA, PR 00602-8637
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5443
PR
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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