Individual
MARISOL SEMIDEY-MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LND
Contact information
Practice address
536 AVE VICTORIA, AGUADILLA, PR 00603-4623
(787) 658-6218
(787) 658-7116
Mailing address
PO BOX 535, SAN ANTONIO, PR 00690-0535
(939) 217-4786
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
2021
PR
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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