Individual
MRS. MARIA ILIA FUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
REY ALBERTO ST. APT. 6206, QUINTA REAL, TOA BAJA, PR 00949
(787) 413-2620
Mailing address
REY ALBERTO ST. APT. 6206, QUINTA REAL, TOA BAJA, PR 00949
(787) 413-2620
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5451
PR
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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