Individual
LISETTE DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BO. BUENA VISTA CARR167 KM15.4, BAYAMON, PR 00956
(787) 620-9613
Mailing address
J78 CALLE SEVILLA BILTMORE, GUAYNABO, PR 00966-4072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3973
PR
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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