Individual
MARYTERY FAJARDO
Active
Individual
MARYTERY FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
133163
FL
2084N0600X
Clinical Neurophysiology Physician
133163
FL
Other
Enumeration date
05/03/2012
Last updated
07/14/2022
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