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Individual
DR. MARISTELA MANUEL CARREON
Active
Individual
DR. MARISTELA MANUEL CARREON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C50505
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C505050
—
CA
01
—
C50505
MEDICAL LICENSE
CA
Enumeration date
01/12/2007
Last updated
02/23/2024
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