Individual
CHARLENNE G PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE VIOLETA I 29, REPTO VALENCIA, BAYAMON, PR 00959-4141
(787) 598-2660
Mailing address
I29 CALLE VIOLETA, REPTO VALENCIA, BAYAMON, PR 00959-4141
(787) 598-2660
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
652
PR
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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