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Individual

MISS LAIDA DACHIRA RAMOS- HERRERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
CALLE 3 LOCAL 1 STREET ANTONIO LOPEZ, HUMACAO, PR 00791
(787) 376-9515
Mailing address
HC 6 BOX 11321, YABUCOA, PR 00767-9749

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5538
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4796781
DRIVER'S LICENSE
Enumeration date
08/23/2017
Last updated
08/23/2017
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