Individual
MRS. LIZ MARY TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
AVE MILITAR #4406, BO COTTO, ISABELA, PR 00662
(787) 872-5943
(787) 830-4788
Mailing address
85C RUTA 4, ISABELA, PR 00662
(787) 872-6065
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
3629
PR
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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