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Individual

YOMAIRA ENID LOPEZ RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHS

Contact information

Practice address
RR 4 BOX 3916, BARRIO SUD PALMA SOLA, CIDRA, PR 00739-9261
(787) 318-4045
Mailing address
RR 01 BUZON 3916, BARRIO SUD PALMA SOLA, CIDRA, PR 00739-9261
(787) 318-4045

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/14/2014
Last updated
05/01/2016
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