WANDA IVELISSE DIAZ

SAN JUAN, PR
NPI1992046171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: PR  930)
Enumeration Date2013-03-12
Last Update Date2013-03-12
Business Address
-- WANDA IVELISSE DIAZ
759 AVE AVELINO VICENTE
SAN JUAN, PR 00909-2538
Phone number: 787-410-5443
Mailing Address
-- WANDA IVELISSE DIAZ
PO BOX 2510
JUNCOS, PR 00777-2510
Phone number:
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