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Individual

MYRNA LIZ CARRASQUILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
CALLE TAPIA #53, SAN JUAN, PR 00911
(787) 425-9400
Mailing address
RR6 CAMINO LOURDES 086, SAN JUAN, PR 00926
(787) 613-2599

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004109
PR

Other

Enumeration date
04/03/2020
Last updated
04/03/2020
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