Individual
MRS. AIXA M BOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ROAD 149 KM 12.3, CIALES, PR 00638
(787) 871-0601
(787) 871-3960
Mailing address
PO BOX 1427, CIALES, PR 00638-1427
(787) 871-0601
(787) 871-3960
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4111
PR
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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