WANDA IVETTE VIDAL

FAJARDO, PR
NPI1790995363
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: PR  15408)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
Mrs. WANDA IVETTE VIDAL M.D.
AVE. GENERAL VALERO #404
FAJARDO, PR 00738
Phone number: 787-655-0505
Mailing Address
Mrs. WANDA IVETTE VIDAL M.D.
PO BOX 160
FAJARDO, PR 00738-0160
Phone number: 787-863-3412
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