Individual
JAILEENE AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CONDOMINIO MUNDO FELIZ APT. #105, CAROLINA, PR 00979
(787) 379-6123
Mailing address
CONDOMINIO MUNDO FELIZ APT. #105, CAROLINA, PR 00979
(787) 379-6123
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6176
PR
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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