Individual
CAROLYN VERONICA RASCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 S DE LACEY AVE, PASADENA, CA 91105-2048
(626) 395-7100
Mailing address
5341 KINCHELOE DR, LOS ANGELES, CA 90041-1412
(323) 256-7143
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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