Individual
ANNETTE A AZCARATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17525 ORANGETREE DR, CARSON, CA 90746-7471
(310) 251-0852
Mailing address
17525 ORANGETREE DR, CARSON, CA 90746-7471
(310) 251-0852
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95015998
CA
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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