Individual
YENDI CARABALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
AVE HOSTOS # 2, 770, MAYAGUEZ, PR 00682-6353
(787) 832-8548
Mailing address
PO BOX 553, YAUCO, PR 00698-0553
(787) 245-7664
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
1780
PR
Other
Enumeration date
10/03/2015
Last updated
10/03/2015
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