Individual
CARLEY RETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3356 W AVENUE L6, LANCASTER, CA 93536-4145
(661) 802-6483
Mailing address
3356 W AVENUE L6, LANCASTER, CA 93536-4145
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/21/2015
Last updated
06/21/2015
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