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Organization

CARASQUERO NURSING INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANDREA CARASQUERO NP (PRESIDENT)
(480) 252-6093
Entity
Organization

Contact information

Practice address
29839 SANTA MARGARITA PKWY STE 100, RANCHO SANTA MARGARITA, CA 92688-3616
(949) 229-1386
Mailing address
27472 PORTOLA PKWY STE 205-165, FOOTHILL RANCH, CA 92610-2853
(602) 388-2288

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
05/29/2019
Last updated
10/12/2019
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