Individual
ANTHONY DICARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2400 E 4TH ST, NATIONAL CITY, CA 91950-2026
(619) 470-4321
Mailing address
330 MOSS ST, CHULA VISTA, CA 91911-2005
(619) 585-4221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95258790
CA
Other
Enumeration date
08/26/2022
Last updated
09/26/2022
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