Individual
KARELY LARA PAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
495 E BIRCH ST, CALEXICO, CA 92231-2374
(760) 482-5000
Mailing address
1415 ROSS AVE, EL CENTRO, CA 92243-4306
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95095267
CA
363L00000X
Nurse Practitioner
Primary
95025163
CA
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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