Individual
MIRNALISE CORDOVA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 607087, BAYAMON, PR 00960-7087
(787) 763-7575
Mailing address
77 CALLE RUBICOM ESTANCIAS DE IMBERY, BARCELONETA, PR 00617
(787) 552-1578
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15216
PR
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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