Individual
CARLOS MANUEL PANIAGUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 GRAVIER ST, NEW ORLEANS, LA 70112-2262
(504) 568-4106
Mailing address
10507 OPUS DR, RIVERVIEW, FL 33579-2310
(857) 204-6676
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
RN9556704
FL
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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