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Individual

CARL ORIEL RAZ LERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1419 E 8TH ST, NATIONAL CITY, CA 91950-2602
(619) 718-1743
Mailing address
9069 HIGHTAIL DR, SANTEE, CA 92071-2055
(619) 530-9026

Taxonomy

Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
848788
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95028468
CA

Other

Enumeration date
05/04/2024
Last updated
11/21/2024
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