Individual
YASMIN MAISONAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27710-5067
(919) 681-3551
Mailing address
650 SERGIO CUEVAS BUSTAMANTE COND SEGOVIA APT1002, SAN JUAN, PR 00918-3815
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
201400819
NC
282N00000X
General Acute Care Hospital
28224
PR
Other
Enumeration date
09/23/2010
Last updated
12/29/2020
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