Individual
WANDA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
HC-05 BOX 10126 BO. PADILLA, CARR. 159 KM 8.4, COROZAL, PR 00783-9800
(787) 859-7959
(787) 859-8128
Mailing address
HC-05 BOX 10126 BO. PADILLA, COROZAL, PR 00783-9800
(787) 859-7959
(787) 859-8128
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3826
PR
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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