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Individual

ALESSANDRA MARIE SUTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
CARR. #2 KM 81.5, BO. CARRIZALEZ, HATILLO, PR 00659
(939) 579-0024
Mailing address
PO BOX 140053, ARECIBO, PR 00614-0053

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4228
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4693737
DRIVERS LICENSE
PR
Enumeration date
01/14/2020
Last updated
01/14/2020
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