Individual
MR. FREDDY CARRENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
2302 BROWN RD, IMPERIAL, CA 92251
(760) 337-7900
(760) 337-7669
Mailing address
1141 E 2ND ST, CALEXICO, CA 92231-3044
(760) 357-6629
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP14151
CA
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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