Individual
LAREISHKA MAIRYM OTERO JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
BO NARANJO CARR 976 K3 H3 INT, FAJARDO, PR 00738
(787) 372-1171
Mailing address
PO BOX 417, FAJARDO, PR 00738-0417
(787) 372-1171
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
003490
PR
Other
Enumeration date
09/12/2024
Last updated
09/14/2024
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