Individual
CAROLINA CARRION MAURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 HARPER ST, PATCHOGUE, NY 11772-1114
(631) 307-0510
Mailing address
32 HARPER ST, PATCHOGUE, NY 11772-1114
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
828531-01
NY
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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