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Individual

MISS GLORIMAR ESCOBALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S

Contact information

Practice address
BUZON 1684 BO SANTANA, ARECIBO, PR 00612
(787) 922-8490
Mailing address
PO BOX 3392, ARECIBO, PR 00613-3392
(787) 922-8490

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
556
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
556
LICENCIA PROFESIONAL DE TERAPISTA DEL HABLA-LENGUAJE
PR
Enumeration date
09/24/2014
Last updated
09/24/2014
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