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Individual

MS. MARA ISABEL IRIZARRY HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
431 AVE HOSTOS, SAN JUAN, PR 00918-3014
(787) 704-0705
Mailing address
2121 W TEMPLE ST, BUILDING A, B, & C, LOS ANGELES, CA 90026-4915
(213) 260-7600

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7367
PR

Other

Enumeration date
08/15/2016
Last updated
08/02/2022
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