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Individual

MISS XIOMARA MONTALVO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCDA.

Contact information

Practice address
18 CALLE SAN ISIDRO, SABANA GRANDE, PR 00637-1855
(787) 517-8042
Mailing address
HC 1 BOX 7709, SAN GERMAN, PR 00683-9643
(787) 517-8042

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3130
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4154697
ELECTORAL IDENTIFICATION
PR
Enumeration date
11/05/2009
Last updated
11/05/2009
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