Individual
JAIR CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1114 GIRARD ST NW, WASHINGTON, DC 20009-5374
(714) 913-3211
Mailing address
1114 GIRARD ST NW, WASHINGTON, DC 20009-5374
(714) 913-3211
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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