Individual
MRS. RAISA MARIA CARVAJAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, IBCLC, CLC
Contact information
Practice address
10016 BROMPTON DR, TAMPA, FL 33626-5163
(786) 277-0690
Mailing address
10016 BROMPTON DR, TAMPA, FL 33626-5163
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN9266145
FL
Other
Enumeration date
12/29/2013
Last updated
10/13/2015
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