Individual
CARISSA LYNN CALZADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2154 DUCK SLOUGH BLVD., SUITE 2, NEW PORT RICHEY, FL 34655
(727) 375-7578
Mailing address
2154 DUCK SLOUGH BLVD., SUITE 2, NEW PORT RICHEY, FL 34655
(727) 375-7578
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA49971
FL
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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