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Individual

MRS. WANDA LIZETTE MALDONADO SOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPH OTRL

Contact information

Practice address
URBANIZACION FLAMBOYAN A-C14, MANATI, PR 00674
(787) 884-4767
Mailing address
PO BOX 504, MANATI, PR 00674-0504
(787) 884-4767

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
461
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
62397
TRIPLE C INC
PR
Enumeration date
08/09/2006
Last updated
07/08/2007
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