Individual
MRS. ILIA IVETTE LAUREANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY
Contact information
Practice address
734 CALLE CIBUCO, TOA ALTA, PR 00953-5114
(787) 462-4825
Mailing address
734 CALLE CIBUCO, TOA ALTA, PR 00953-5114
(787) 462-4825
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
592
PR
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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