Individual
NOEL CARCALLAS CABRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
890 EL CAMINO REAL, SAN BRUNO, CA 94066-3137
(650) 583-7768
Mailing address
890 EL CAMINO REAL, SAN BRUNO, CA 94066-3137
(650) 583-7768
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9738
CA
Other
Enumeration date
05/16/2022
Last updated
06/06/2022
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