Individual
KANICHKA RODRIGUEZ ALICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 111 KM 1.8 AVE FERNANDO L RIBAS, UTUADO, PR 00641-0659
(787) 894-2185
(787) 814-0058
Mailing address
PO BOX 659, UTUADO, PR 00641-0659
(787) 894-2185
(787) 814-0058
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
005508
PR
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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