Individual
DIANDRA ASHLEY BAQUERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
388 ZONA IND REPARADA 2, PONCE, PR 00716-2347
(787) 487-9334
Mailing address
388 ZONA IND REPARADA 2, PONCE, PR 00716-2347
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6617
PR
Other
Enumeration date
06/11/2021
Last updated
05/05/2025
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