Individual
MARIANELA FRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BARRIO MAVILLAS CARR 159 KM 16.7 #A3, COROZAL, PR 00783
(787) 430-5899
Mailing address
URB SAN FERNANDO CALLE 15 C3, BAYAMON, PR 00957
(787) 920-2080
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2053306
PR
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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