Individual
DR. CARLOTA CRUZ NEPOMUCENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1441 LIBERTY ST, REDDING, CA 96001-0848
(530) 226-1721
(530) 224-2742
Mailing address
1441 LIBERTY ST, REDDING, CA 96001-0848
(530) 226-1721
(530) 224-2742
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C50727
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0094270
—
CA
Enumeration date
03/30/2007
Last updated
03/09/2017
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