Individual
JESENISS ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BO. CANDELARIA, KM 62.7, ARECIBO, PR 00612
(787) 881-2440
(787) 880-3258
Mailing address
HC 3 BOX 3166, FLORIDA, PR 00650-9639
(787) 566-1929
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
6669
PR
Other
Enumeration date
05/21/2010
Last updated
07/15/2010
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