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Individual

SAMARI ROMAN- GANDULLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYCHOLOGIST

Contact information

Practice address
1452 ASHFORD, COND. ADALIGIA, SUITE 308, SAN JUAN, PR 00907-1581
(787) 649-7212
Mailing address
PO BOX 932, DORADO, PR 00646-0932
(787) 649-7212

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
3040
PR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
3040
PR

Other

Enumeration date
02/27/2008
Last updated
09/08/2011
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