Individual
MRS. CARMEN YAJAIRA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST TECH
Contact information
Practice address
URB. SANTA CLARA CARR 9931 SUITE 1, SAN LORENZO, PR 00754
(787) 687-7997
(787) 687-7994
Mailing address
URB. SANTA CLARA CARR 9931 SUITE 1, SAN LORENZO, PR 00754
(787) 687-7997
(787) 687-7994
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
11562
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4678295
DRIVERS
PR
Enumeration date
10/22/2018
Last updated
10/22/2018
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