Individual
EDNA CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMF
Contact information
Practice address
136 HERITAGE PARK LN, MULBERRY, FL 33860-9447
(407) 443-4985
Mailing address
136 HERITAGE PARK LN, MULBERRY, FL 33860-9447
(407) 443-4985
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
C54129
FL
Other
Enumeration date
10/03/2022
Last updated
03/23/2023
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