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Abigail Joanis De Jesus

Student in an Organized Health Care Education/Training Program in San Juan, PR. Individual provider (NPI-1).

NPI number1215744149
StatusActive
Last updated in NPPESDec 13, 2024

Details

NPI
1215744149
Entity type
Individual (NPI-1)
Name
Abigail Joanis De Jesus
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 13, 2024
Certification date
Dec 11, 2024
Last updated
Dec 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

10 Calle Casia
San Juan, PR 00921-3200

Phone 787-641-7582

Mailing address

Urb. Laderas De San Juan
H-11 Calle Ortegon
San Juan, PR 00926

Phone 787-415-8450

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