Individual
ERICKA CARMEN CARRANZA-PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1700 MCHENRY VILLAGE WAY, SUITE 2, MODESTO, CA 95350-4308
(209) 549-1057
Mailing address
PO BOX 40, HUGHSON, CA 95326-0040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA22514
CA
Other
Enumeration date
09/06/2012
Last updated
01/14/2015
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