Individual
CARMELA MARIE CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2101 LITTLE MOUNTAIN LN, MOUNT VERNON, WA 98274-8752
(360) 428-2622
(360) 428-3941
Mailing address
2101 LITTLE MOUNTAIN LN, MOUNT VERNON, WA 98274-8752
(360) 428-2622
(360) 428-3941
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD60740494
WA
208000000X
Pediatrics Physician
ML60469840
WA
Other
Enumeration date
03/29/2014
Last updated
01/05/2018
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