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Individual

JENILETH ENID LECTORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
99 GUILLERMO RIEFKHOL STREET, PATILLAS, PR 00723
(787) 839-4320
(787) 271-0004
Mailing address
PO BOX 697, PATILLAS, PR 00723-0697
(787) 839-4320
(787) 271-0004

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21295
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21295
LICENSE
PR
Enumeration date
07/13/2020
Last updated
07/13/2020
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