Individual
CONSUELO CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
490 NORTH GRAPE STREET, ESPERANZA CRISIS CENTER, ESCONDIDO, CA 92025
(760) 975-9939
Mailing address
31289 HURON ST, TEMECULA, CA 92592-5704
(760) 412-0802
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN269905
CA
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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