Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | PR |
NPI | 1114123478 |
---|---|
Provider Name | Miss Arelys Class |
First Address | Toa Alta, PR 00953 |
Second Address | San Juan, PR 00920-3860 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2007 |
Last Update Date | 08/07/2007 |