Individual
MS. MICHELLE ROSEMARY CARLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
9890 COUNTY FARM RD STE 2, RIVERSIDE, CA 92503-3678
(951) 509-2499
Mailing address
9890 COUNTY FARM RD STE 2, RIVERSIDE, CA 92503-3678
(951) 509-2499
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36916
CA
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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