Individual
NANCY DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BRAZIL ST. #1, URB. MONACO 2, MANATI, PR 00674
(787) 644-9276
Mailing address
BRAZIL ST. #1, URB. MONACO 2, MANATI, PR 00674
(787) 644-9276
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
4593
PR
2355S0801X
Speech-Language Assistant
Primary
1163
PR
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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