Individual
DESIREE CARMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 459-6000
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A181184
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A181184
STATE MEDICAL LICENSE
CA
Enumeration date
04/08/2019
Last updated
01/02/2026
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