GENNIFER COSTALES

AGUADILLA, PUERTO RICO
NPI1043746860
Former NameGENNIFER WATSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
Enumeration Date2017-05-11
Last Update Date2017-05-11
Business Address
GENNIFER COSTALES
75 HOOD RD
AGUADILLA, PUERTO RICO 00603
Phone number: 787-890-8477
Mailing Address
GENNIFER COSTALES
75 HOOD RD
AGUADILLA, PR 00603
Phone number: 787-890-8477