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Individual

MISS JALEYSHA MARIE CANDELARIA RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
63 CALLE TENIENTE LUIS GARCIA, ARECIBO GARDENS, ARECIBO, PR 00612-0000
(939) 246-9346
Mailing address
PO BOX 143805, ARECIBO, PR 00614-3805
(939) 246-9346

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001118
PR

Other

Enumeration date
02/26/2016
Last updated
02/26/2016
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