Individual
CARMELITA R CO-CASQUEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1310 W STEWART DR, SUITE 506, ORANGE, CA 92868-3854
(714) 633-4957
(714) 639-2379
Mailing address
1310 W STEWART DR, SUITE 506, ORANGE, CA 92868-3854
(714) 633-4957
(714) 639-2379
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A30096
CA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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