Individual
NYDIA IRIS CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
452 WAHNETA PALMS DR, WINTER HAVEN, FL 33880-5865
(863) 456-9750
Mailing address
452 WAHNETA PALMS DR, WINTER HAVEN, FL 33880-5865
(863) 456-9750
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/25/2017
Last updated
07/09/2021
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