Individual
ANGELICA MANZOLILLO CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11031122
FL
363LP2300X
Primary Care Nurse Practitioner
F347464-01
NY
Other
Enumeration date
07/25/2021
Last updated
06/24/2024
Update your record
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