Individual
CAROLINA LISSETTE PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8041 NEWMAN AVE, HUNTINGTON BEACH, CA 92647-7034
(888) 499-9303
Mailing address
8041 NEWMAN AVE, HUNTINGTON BEACH, CA 92647-7034
(888) 499-9303
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306015425
—
CA
Enumeration date
04/01/2022
Last updated
04/01/2022
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