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Individual

WALESKA VARGAS PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LND

Contact information

Practice address
CARR. #2 KM93.2 INT119, BO. MEMBRILLO, CAMUY, PR 00627-9724
(787) 397-9576
Mailing address
BOX 12881, HC-03, CAMUY, PR 00627-9724
(787) 397-9576

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
1331
PR
133NN1002X
Nutrition Education Nutritionist
Primary
1331
PR

Other

Enumeration date
10/02/2009
Last updated
10/02/2009
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