Individual
CYNTHIA MICHELLE CARBAJAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
768 GRANT ST, CALEXICO, CA 92231-3436
(760) 693-0046
Mailing address
1324 ALBRIGHT ST, CALEXICO, CA 92231-4322
(442) 200-7676
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D4007954
DRIVER LICENSE
CA
Enumeration date
09/24/2019
Last updated
09/24/2019
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