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Individual
MS. MAYDA ENGRACIA CARRILLO
Active
Individual
MS. MAYDA ENGRACIA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN DOM NMD
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1451192
FL
171100000X
Acupuncturist
Primary
AP712
FL
175F00000X
Naturopath
NAT1000736
DC
Other
Enumeration date
04/27/2006
Last updated
08/18/2009
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