Individual
CARISSA VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 967-1889
Mailing address
62 SUNFLOWER ST, REDLANDS, CA 92373-4211
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
134798
CA
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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