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Individual

DR. DAFNIS CAROLINA CARRANZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
43760
TN
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
43760
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3001556
TN
01
P00634097
RR MEDICARE
TN
Enumeration date
11/12/2007
Last updated
09/05/2011
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