Individual
JEZEBEL RENTAS DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 CALLE MUNOZ RIVERA, SANTA ISABEL, PR 00757-0000
(787) 839-4320
(787) 845-5841
Mailing address
HC 1 BOX 14208, COAMO, PR 00769-9700
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
36383
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36383
RN LICENSE
PR
Enumeration date
04/23/2015
Last updated
04/23/2015
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