Individual
DIVA MARIE BAZROUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE MAGA, SAN JUAN, PR 00987
(787) 767-5530
Mailing address
BRISAS DE CANOVANAS 148 CALLE ALONDRA, CANOVANAS, PR 00729-3019
(787) 242-8177
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9566
PR
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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