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Individual

ONELLYS M MEDINA GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LND

Contact information

Practice address
CARR 110 KM 0 3, BO CEIBA BAJA, AGUADILLA, PR 00604
(787) 531-1036
Mailing address
1551 CALLE MARTIN TRAVIESO APT 1, SAN JUAN, PR 00911-1940
(787) 531-1036

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1646
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1646
LICENSE
PR
Enumeration date
06/18/2012
Last updated
02/19/2020
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