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Individual

DAMARIS ILLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
TECH.

Contact information

Practice address
455 AVE PONCE DE LEON, ESQ. RUIZ BELVIS FLORAL PARK, SAN JUAN, PR 00917-3711
(787) 765-6768
(787) 765-5937
Mailing address
CALLE STA. ELENA 1697, URB. ALTAMESA, RIO PIEDRAS, PR 00921
(787) 765-6768
(787) 765-5937

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2123
PR

Other

Enumeration date
02/22/2007
Last updated
07/08/2007
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