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Individual

MICHELLE CAROLINA CARVAJAL VILLALBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(347) 806-8908
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0194
MD
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/24/2022
Last updated
07/17/2024
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