Individual
MRS. CHRISTINE MARIE MALLENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
34 CALLE MUNOZ RIVERA, TOA ALTA, PR 00953-2418
(787) 870-2960
(787) 870-7257
Mailing address
J4 CALLE 2, ALTURAS DEL RIO, BAYAMON, PR 00959-8901
(787) 402-3978
(787) 870-7257
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
755
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57871
SSS
PR
Enumeration date
02/13/2007
Last updated
07/08/2007
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