Individual
JOSE LIRA CARRANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3350 LA JOLLA VILLAGE DRIVE, SAN DIEGO, CA 92161-0002
(858) 552-8585
Mailing address
2635 MADISON ST APT 19, CARLSBAD, CA 92008-1739
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
695626
CA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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