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Individual

DR. OMAYRA MUSTAFA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY D

Contact information

Practice address
265 AVE. PINERO 2DO NIVEL, URB. HYDE PARK, SAN JUAN, PR 00918
(787) 234-7168
Mailing address
200 PARK WEST APT 85, BAYAMON, PR 00961
(787) 536-5705

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3603
PR

Other

Enumeration date
06/14/2010
Last updated
06/14/2010
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