Individual
STEPHANIE YASMIN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HC 4 BOX 43575, LARES, PR 00669-9431
(787) 453-3142
Mailing address
HC 4 BOX 43575, LARES, PR 00669-9431
(787) 453-3142
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
011567
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6163993
LICENSE NUMBER
PR
Enumeration date
11/21/2018
Last updated
11/21/2018
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