Individual
TAMARA VALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
MARINA ESQUINA FERROCARRIL 9105, PONCE, PR 00731
(787) 955-5525
Mailing address
PO BOX 10036, PONCE, PR 00732-0036
(787) 955-5525
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4360319
PR
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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