Individual
ROSEMARY CARRENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23950 PRADO LN, COLTON, CA 92324-9734
(909) 514-1958
Mailing address
23950 PRADO LN, COLTON, CA 92324-9734
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-EJSOKG
CA
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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