Individual
MIRIAM NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 CALLE MANUEL CORCHADO JUARBE, ISABELA, PR 00662-2973
(787) 872-5159
Mailing address
12 CALLE VICENTE NIEVES, ISABELA, PR 00662-3280
(787) 872-4668
(787) 872-5159
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
856
PR
Other
Enumeration date
01/01/2010
Last updated
05/29/2024
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