Individual
MAGDA VALENCIA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
ESQUINA BOULEVARD LEVITTOWN LAKES T.B., TOA BAJA, PR 00959
(787) 630-0000
(787) 779-5289
Mailing address
ESQUINA BOULEVARD LEVITTOWN LAKES T.B., TOA BAJA, PR 00959
(787) 630-0000
(787) 779-5289
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2222
PR
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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