Individual
IRENE CONTRERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
848 3RD ST, CRESCENT CITY, CA 95531-4319
(707) 465-1356
Mailing address
848 3RD ST, CRESCENT CITY, CA 95531-4319
(707) 465-1356
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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