Individual
MARILISSA COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT ASCP
Contact information
Practice address
11119 CALLE CRISANTEMOS, HACIENDA CONCORDIA, SANTA ISABEL, PR 00757-3115
(787) 223-3417
Mailing address
11119 CALLE CRISANTEMOS, HACIENDA CONCORDIA, SANTA ISABEL, PR 00757
(787) 223-3417
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
211798
PR
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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