Individual
MARIELIZ ENID QUINTANA BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
BO GUATEMALA, CARR 111 KM 16.8 INT, SAN SEBASTIAN, PR 00685
(787) 374-2161
Mailing address
PO BOX 3703, SAN SEBASTIAN, PR 00685-3703
(787) 374-2161
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1479
PR
101YP2500X
Professional Counselor
Primary
1479
PR
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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