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Individual

ESTEVAUN CARRION

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
55561
CA
363A00000X
Physician Assistant
PA55561
CA

Other

Enumeration date
06/15/2018
Last updated
06/09/2021
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