Provider Demographics
NPI:1114224284
Name:BARAJAS, MARIA (AP, RN, DOM)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:BARAJAS
Suffix:
Gender:F
Credentials:AP, RN, DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2314 W PRICE BLVD
Mailing Address - Street 2:2314 W. PRICE BLVD
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34286-6819
Mailing Address - Country:US
Mailing Address - Phone:941-769-2474
Mailing Address - Fax:
Practice Address - Street 1:2314 W PRICE BLVD
Practice Address - Street 2:2314 W. PRICE BLVD
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34286-6819
Practice Address - Country:US
Practice Address - Phone:941-769-2474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2956171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist