Individual
WILLIAM OMAR SEVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
URB. VILLA CONTESSA CALLE TUDOR, Q 9, BAYAMON, PR 00956
(787) 224-3442
Mailing address
PO BOX 3244, BAYAMON, PR 00958-0244
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
000842
PR
Other
Enumeration date
01/23/2023
Last updated
06/30/2023
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