Individual
MARISOL CARRASQUIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1056 SW CASTANEDA LN, PORT ST LUCIE, FL 34953-3273
(772) 240-8586
Mailing address
1056 SW CASTANEDA LN, PORT ST LUCIE, FL 34953-3273
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5173068
FL
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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