Correa, Jessica Ivellise

Correa, Jessica Ivellise is an individual health care provider with primary practice located at Carr 3 Km 28.8 , Rio Grande PR 00745. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Correa, Jessica Ivellise can be contacted via phone (787) 887-2602.

Contact Information

Primary practice address
Carr 3 Km 28.8 Rio Grande PR 00745
Phone: (787) 887-2602
Fax: (787) 809-8398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 4573 Puerto Rico

Profile Details

NPI number 1376649681
LBN Legal business name Correa, Jessica Ivellise
Credentials RPHTECH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376649681 NPPES
Puerto Rico Other 4573 PHARMACY TECH. LICENSE

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