Individual
MRS. MYRNA TALAVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 CALLE MANUEL CORCHADO JUARBE, ISABELA, PR 00662-2973
(787) 872-5159
Mailing address
PO BOX 2362, ISABELA, PR 00662-2004
(178) 787-2515
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
194
PR
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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