Mayda Engracia Carrillo, RN DOM NMD
Acupuncturist in Clearwater, FL. Individual provider (NPI-1).
NPI number1790742302
StatusActive
Last updated in NPPESAug 18, 2009
Details
- NPI
- 1790742302
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mayda Engracia Carrillo
- Credential
- RN DOM NMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2006
- Last updated
- Aug 18, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | AP712 | FL | Yes |
| 163W00000X | Registered Nurse | RN1451192 | FL | |
| 175F00000X | Naturopath | NAT1000736 | DC |
Practice location
1201 Sheridan RdClearwater, FL 33755-1430
Phone 727-449-9090 · Fax 727-449-9090
Mailing address
1201 Sheridan RdClearwater, FL 33755
Phone 727-449-9090 · Fax 727-449-9090
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