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Gennifer Costales
Military Health Care Provider in Aguadilla, N/A
NPI 1043746860

Gennifer Costales is a Military Health Care Provider based in Aguadilla, . Gennifer Costales practices in Aguadilla, . The NPI Number for Gennifer Costales is 1043746860 and holds a License No. (N/A).

The current practice location address for Gennifer Costales is 75 Hood Rd, Aguadilla, and can be reached out via phone at 787-890-8477.

Location: 75 Hood Rd, Aguadilla, , 00603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043746860
Provider Name
Gennifer Costales
Credential
Provider Entity Type
Individual
Gender
Female
Address
75 Hood Rd, Aguadilla, , 00603
Phone Number
787-890-8477
Fax Number
Provider Enumeration Date
05/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
75 Hood Rd
City
Aguadilla
State
Zip
00603
Phone Number
787-890-8477
Fax Number
person
Provider Business Mailing Address Details
Address
75 Hood Rd
City
Aguadilla
State
Zip
00603
Phone Number
787-890-8477
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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