Individual
CARISSA ALENA CARYOTAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3701 J ST STE 201, SACRAMENTO, CA 95816-5542
(855) 354-2242
(855) 354-2242
Mailing address
1860 HOWE AVE STE 455, SACRAMENTO, CA 95825-1086
(916) 454-2345
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
00000
CA
Other
Enumeration date
10/31/2016
Last updated
09/12/2022
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