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Individual

DULIEN CONTRERAS RODRIGUEZ

Active
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Individual

DULIEN CONTRERAS RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11005271
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11005271
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1114485638
UNITED
FL
05
1114485638
FL
Enumeration date
12/18/2019
Last updated
05/11/2023
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