Individual
GABRIEL DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
VERSALLES U7 CALLE 3A, BAYAMON, PR 00959
(787) 244-5187
Mailing address
VERSALLES U7 CALLE 3A, BAYAMON, PR 00959
(787) 244-5187
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3214
PR
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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