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NPI Profile for IVELISSE FONTANEZ in RIO GRANDE, PR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
163WG0600X | |||
Psychiatric/Mental Health |
163WP0808X |
| NPI Number | 1750682183 |
|
| Status | Active | |
| Credentials | MSN | |
| Entity | Individual | |
| Enumeration date | 11/17/2010 | |
| Last updated | 11/17/2010 - About 16 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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IVELISSE FONTANEZ
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IVELISSE FONTANEZ, MSN