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MR. CARLOS RAUL CARRERA A.A.

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1891811162

Individual Registrant:
MR. CARLOS RAUL CARRERA A.A.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
160 S 7TH AVE  LA PUENTE, CA 91746-3211 US
Tel: 626-961-8971  Fax: --

Contact information for business:
25 WESTMONT DR APT 11  ALHAMBRA, CA 91801-2939 US
Tel: 626-393-1052  Fax: --

Registration Information:
NPI: 1891811162
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N171M00000XOther Service Providers
Case Manager/Care Coordinator
Y225400000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Rehabilitation Practitioner

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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