Individual
LIZEYLA ESTHER NICOLAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 VILLA TIRO, 716, CANOVANAS, PR 00729
(787) 206-5967
Mailing address
184 CALLE FALCON, RIO GRANDE, PR 00745-9657
(787) 206-5967
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7400
PR
Other
Enumeration date
06/10/2022
Last updated
04/30/2024
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