Individual
LAZARO YAISEL GONZALEZ CARRAZCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
740 ASPEN RD, WEST PALM BEACH, FL 33409-6104
(561) 713-9829
Mailing address
740 ASPEN RD, WEST PALM BEACH, FL 33409-6104
(561) 713-9829
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/20/2021
Last updated
03/24/2021
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