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Individual

MRS. CARLA RECHARTE CARACCIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-8358
(310) 267-9536
(310) 267-3575
Mailing address
2812 PERKINS LN, REDONDO BEACH, CA 90278-1741
(310) 267-9536
(310) 267-3575

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
553282
CA
363LA2100X
Acute Care Nurse Practitioner
21065
CA
364SA2100X
Acute Care Clinical Nurse Specialist
3638
CA

Other

Enumeration date
02/23/2013
Last updated
02/23/2013
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