Individual
MARISTELY ROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR. 490 KM. 3.2 BO. CAMPO ALEGRE SECTOR PAJUIL, HATILLO, PR 00659
(787) 820-1972
(787) 898-6239
Mailing address
PO BOX 526, HATILLO, PR 00659-0526
(787) 262-7237
(787) 898-6239
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
1369
PR
Other
Enumeration date
09/20/2006
Last updated
12/01/2008
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