Individual
GINETTE ROSA DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
EDIF. SAN GERALDO SUITE 207G BO. TIERRA SANTA CARR. 149, VILLALBA, PR 00766
(787) 847-6700
Mailing address
LOS CAOBOS CALLE NOGAL # 2133, PONCE, PR 00716-2703
(787) 633-6993
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1824
PR
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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