| NPI | 1518115161 |
|---|---|
| Professional Name | CARLOS VENEGAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 116073) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 46245) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2016-01-06 |