Individual
JAEL DARICIA CRUZ OLGUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 CALLE IGLESIA S, MAYAGUEZ, PR 00680-4916
(939) 865-1077
Mailing address
51 CALLE IGLESIA S, MAYAGUEZ, PR 00680-4916
(939) 865-1077
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
51555
PR
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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