Individual
MRS. ANGELICA MARIA LACLAUSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S
Contact information
Practice address
PR 129 KM 15.1, SUITE #3 FIRST FLOOR, HATILLO, PR 00659
(787) 453-6557
Mailing address
PO BOX 245, ANGELES, PR 00611-0245
(787) 453-6557
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
1907
PR
133NN1002X
Nutrition Education Nutritionist
Primary
1907
PR
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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