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Individual

GINA LIZ RIVERA LAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
BO ANTON RUIZ CARR 927 K0 H6, HUMACAO, PR 00791
(787) 407-9972
Mailing address
HC 3 BOX 5847, HUMACAO, PR 00791-9504
(787) 407-9972

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15651
PR

Other

Enumeration date
03/13/2024
Last updated
03/13/2024
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