Individual
CARLOS PARADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
518 S 19TH ST, RICHMOND, CA 94804-3804
(510) 367-5391
Mailing address
518 S 19TH ST, RICHMOND, CA 94804-3804
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
F4942598
CA
372600000X
Adult Companion
—
—
Other
Enumeration date
10/04/2025
Last updated
10/04/2025
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