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CHARLOTTE SANTIAGO CARLSON

Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1598056426

Individual Registrant:
 CHARLOTTE SANTIAGO CARLSON 
Gender: F
Sole Proprietor

Location and contact information for practice:
1850 REDONDO AVE SUITE 108 SIGNAL HILL, CA 90755-1251 US
Tel: 562-498-2131  Fax: --

Contact information for business:
24035 OCEAN AVE #18 TORRANCE, CA 90505-6433 US
Tel: --  Fax: --

Registration Information:
NPI: 1598056426
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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