Individual
MISS IVETTE FONTANEZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
19 CALLE DUFRESNE E, SUITE 1, HUMACAO, PR 00791-3605
(787) 340-7493
Mailing address
AA2 AVE TEJAS, CORREO VILLA PMB 170, HUMACAO, PR 00791-4351
(787) 340-7493
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2462
PR
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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