Individual
MARI D PADILLA MIMOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
68 CALLE AQUAMARINA, CAGUAS, PR 00725-1908
(787) 469-7976
Mailing address
225 GRAND BLVD LOS PRADOS APT 85, CAGUAS, PR 00727-3504
(787) 469-7976
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
003614
PR
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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