Individual
CARLA MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1913A PALM AVE, NATIONAL CITY, CA 91950-6039
(619) 808-5054
Mailing address
1913A PALM AVE, NATIONAL CITY, CA 91950-6039
(619) 808-5054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95170027
CA
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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