Individual
JOHANNA LIZ VARGAS VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
AVE. FELISA RINCON LAS VISTAS SHOPPPING VILLAGE, SUITE 1, SAN JUAN, PR 00926
(787) 452-0619
Mailing address
56 CALLE FALCON, SAN JUAN, PR 00926-9535
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6153
PR
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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