Individual
YOLIBETH TAVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE JOSE ROSA #11, CAMUY, PR 00627
(787) 427-4519
Mailing address
PO BOX 537, ARECIBO, PR 00613
(787) 427-4519
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001077
PR
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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