Individual
JACQUELINE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
BZN A348, BO GUANIQUILLA, AGUADA, PR 00602-0348
(787) 868-7768
Mailing address
PO BOX 348, BZN A348 BO. GUANIQUILLA, AGUADA, PR 00602
(787) 868-7768
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5065
PR
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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