Individual
BIANKINETTE PACHECO MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
INTERCEDE, ACADEMIA PONCE INTERAMERICANA 2DO NIVEL 239 SABANETAS S, PONCE, PR 00716
(939) 238-1864
Mailing address
PO BOX 901, JUANA DIAZ, PR 00795-0901
(787) 448-5717
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7032
PR
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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