Melida Custodio Miese
NPI #1578751707 in Catano, Puerto Rico
Provider Information
- NPI Number
- 1578751707
- Entity Type
- Individual
- Name
- Melida Custodio Miese
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Enumeration Date
- Oct 12, 2007
- Last Updated
- Oct 12, 2007
Practice Location
- Address
- CALLE 22 Y 1 AVE 19
- Address 2
- LAS VEGAS
- City
- Catano
- State
- Puerto Rico
- ZIP Code
- 00962
- Phone
- (787) 328-6696
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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