Individual
MR. CESAR CARRENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PPS
Contact information
Practice address
1250 NORTH 8TH AVENUE, SAN LUIS, AZ 85349
(928) 502-6168
Mailing address
1141 E 2ND ST, CALEXICO, CA 92231-3044
(760) 357-6629
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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