Individual
ZAIDA E MANGUAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
RR 6 BOX 4065, SAN JUAN, PR 00926-9449
(787) 420-1109
Mailing address
RR 6 BOX 4065, SAN JUAN, PR 00926-9449
(787) 420-1109
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3778
PR
Other
Enumeration date
02/26/2012
Last updated
02/26/2012
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