Individual
CARLA J VIZCARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
184 HOLIDAY HILLS DR, PARKERSBURG, WV 26104-8006
(304) 420-4200
Mailing address
184 HOLIDAY HILLS DR, PARKERSBURG, WV 26104-8006
(304) 420-4200
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
11/01/2023
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