Individual
ANGELINA MARIA CARRETERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 LAWNDALE DR APT 10, FORTUNA, CA 95540-2827
(707) 393-1377
Mailing address
1001 LAWNDALE DR APT 10, FORTUNA, CA 95540-2827
(707) 393-1377
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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