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Individual

ANGELIRIS MATOS LASANTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
PLAZA CHALET, AVE ALBOLOTE, LOCAL #5, GUAYNABO, PR 00969
(787) 374-5865
Mailing address
PLAZA ESMERALDA AVE ESMERALDA, APT 227, GUAYNABO, PR 00969
(787) 374-5865

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
829
PR

Other

Enumeration date
05/06/2022
Last updated
05/06/2022
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