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Individual

GERMAN L CARAANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-9200
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3514
(626) 218-5310

Taxonomy

Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
727706
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
21241
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21241
NP LICENSE NUMBER
CA
01
727706
RN LICENSE NUMBER
CA
Enumeration date
11/14/2011
Last updated
11/18/2020
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