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Organization

BLABLAO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WISARYS MOLINA VILLANUEVA (OWNER)
(787) 464-8082
Entity
Organization

Contact information

Practice address
CARRETERA 164 KM 16.2, BO PALMAREJO EXTENSION MARIA DEL CARMEN, COROZAL, PR 00783
(787) 464-8082
Mailing address
RR 2 BOX 4635, TOA ALTA, PR 00953-9676
(787) 464-8082

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
08/29/2025
Last updated
08/29/2025
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