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Individual

MISS JERUSHA ARBOLEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT (ASCP)

Contact information

Practice address
C-2 ALEJANDRINO - CLEMENTINA, GUAYNABO, PR 00969-4704
(787) 503-1304
(787) 200-0391
Mailing address
C-2 ALEJANDRINO - CLEMENTINA, GUAYNABO, PR 00969-4704
(787) 503-1304
(787) 200-0391

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
447
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3-0127
SSS
01
660-125278
MCS
Enumeration date
03/11/2009
Last updated
03/11/2009
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