Individual
CLARITA ESTHER CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1926 10TH AVE N, SUITE 202, LAKE WORTH, FL 33461-3369
(561) 588-4844
(561) 588-3655
Mailing address
1926 10TH AVE N, SUITE 202, LAKE WORTH, FL 33461-3369
(561) 588-4844
(561) 588-3655
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ARNP3285582
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP3285582
FL
Other
Enumeration date
10/25/2007
Last updated
04/04/2012
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