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Individual

MRS. JESSICA DE JESUS-GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
2188 AVE EDUARDO RUBERTE STE 105, PONCE, PR 00716-0601
(787) 844-1084
(787) 844-0180
Mailing address
URB SANTA RITA CALLE SANTA LUCIA, COTO LAUREL, PR 00780
(787) 223-9575

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
6331
PR

Other

Enumeration date
08/23/2007
Last updated
08/23/2007
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