Individual
CRISTIAN CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
84 E J ST, CHULA VISTA, CA 91910-6115
(619) 425-9600
Mailing address
2382 FOREST MEADOW CT, CHULA VISTA, CA 91915-2249
(619) 632-3271
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22435
CA
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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