Individual
JOHANNE PHANORD FELIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1503 CALLE PROF AUGUSTO RODRIGUEZ, CONDOMINIO ASIA, 6TO PISO, SAN JUAN, PR 00909-2275
(787) 497-0800
Mailing address
117-14 CALLE 74, CAROLINA, PR 00985-4120
(787) 248-3020
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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