Individual
AMALIA RACCA RACIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1433 PASEO VERA ST, CARSON, CA 90745-5600
(310) 344-2279
Mailing address
1433 PASEO VERA ST, CARSON, CA 90745-5600
(310) 344-2279
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95013713
CA
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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