Individual
JACKELINE DIAZ-COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE 10 D 23 URB FAIR VIEW, SAN JUAN, PR 00926
(787) 955-1441
Mailing address
CALLE 10 D 23 URB FAIR VIEW, SAN JUAN, PR 00926
(787) 955-1441
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
7786
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7786
PHARM TECH LIC
PR
Enumeration date
06/17/2009
Last updated
06/17/2009
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