Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor | 668 | PR |
NPI | 1326340811 |
---|---|
Provider Name | Mrs. Maritza Molina |
First Address | Vega Baja, PR 00694-1170 |
Second Address | Vega Baja, PR 00693-3216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2010 |
Last Update Date | 03/12/2010 |