Individual
CARLOS A CUELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
STUDENT HEALTH SERVICES CSU CHICO, CHICO, CA 95929-0001
(530) 898-5241
Mailing address
5 DONNER LN, CHICO, CA 95928-4167
(530) 894-7354
(530) 898-6647
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12339
CA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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