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Carla Sofia Basden Lopez, SRNA

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

NPI number1609655752
StatusActive
Last updated in NPPESSep 27, 2023

Details

NPI
1609655752
Entity type
Individual (NPI-1)
Name
Carla Sofia Basden Lopez
Credential
SRNA
Sex
Female
Sole proprietor
No
Enumeration date
Sep 27, 2023
Certification date
Sep 27, 2023
Last updated
Sep 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program91566PRYes

Practice location

B1 Calle Marina
Toa Baja, PR 00949-4526

Phone 787-388-5553

Mailing address

Po Box 365067
San Juan, PR 00936-5067

Phone 787-388-5553

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