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Individual

JACQUELINE VANESSA LUGO PINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2046 REPARTO, ALTURAS DE PENUELAS I, PENUELAS, PR 00624
(787) 239-1275
(787) 290-1907
Mailing address
2046 REPARTO, ALTURAS DE PENUELAS 1, PENUELAS, PR 00624
(787) 239-1275
(787) 290-1907

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
003093
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003093
AUXILIAR DE FARMACIA
PR
Enumeration date
02/26/2007
Last updated
07/08/2007
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