Individual
ANTHONY LUIS CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2070 TREEWOOD LN, SAN JOSE, CA 95132-1243
(408) 780-6301
Mailing address
2070 TREEWOOD LN, SAN JOSE, CA 95132-1243
(408) 780-6301
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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