ERISDANYS CARBALLEDA PUEBLA

LUTZ, FL
NPI1811570328
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  11012344)
Enumeration Date2021-05-03
Last Update Date2021-05-03
Business Address
Ms. ERISDANYS CARBALLEDA PUEBLA APRN
3710 ARCADE TRL APT 307
LUTZ, FL 33548-7961
Phone number: 813-900-9544
Mailing Address
Ms. ERISDANYS CARBALLEDA PUEBLA APRN
3710 ARCADE TRL APT 307
LUTZ, FL 33548-7961
Phone number: 813-900-9544