Individual
JOHALY FAJARDO TOLENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
B8 ZORZAL ST., PASEO PALMA REAL, JUNCOS, PR 00777
(787) 595-1224
Mailing address
B8 ZORZAL ST., PASEO PALMA REAL, JUNCOS, PR 00777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
889
PR
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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