Individual
CARLOS ANTONIO RIDAURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
790 W ORANGE AVE STE B, EL CENTRO, CA 92243-3274
(760) 353-3222
Mailing address
790 W ORANGE AVE STE B, EL CENTRO, CA 92243-3274
(760) 353-3222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95034846
CA
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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