Individual
CARLA MARIES RICAFORT MARIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75235-5202
(214) 633-5555
Mailing address
6908 LEFLORE DR, PLANO, TX 75074-8752
(917) 753-2395
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1030792
TX
Other
Enumeration date
07/22/2024
Last updated
09/24/2024
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