Individual
MRS. MIRIAM CAMACHO-CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
SUSUA ALTA STREET 368, KM 226H7, YAUCO, PR 00698-1384
(787) 236-5876
Mailing address
PO BOX 1384, YAUCO, PR 00698-1384
(787) 236-5876
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
35736G
PR
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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