Individual
MR. MANUEL CARRANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
572 CENTENNIAL WAY, ATWATER, CA 95301-2923
(209) 947-4481
Mailing address
572 CENTENNIAL WAY, ATWATER, CA 95301-2923
(209) 947-4481
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
C7195578
CA
Other
Enumeration date
07/13/2021
Last updated
08/12/2021
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