Individual
MARIO CARRANCHO ENCARNACION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
751 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6617
(619) 502-5800
Mailing address
11085 BOOTES ST, SAN DIEGO, CA 92126-1907
(858) 275-4569
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
RN95338743
CA
Other
Enumeration date
11/02/2023
Last updated
04/20/2025
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