Individual
MR. CARLOS RAUL CARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A.
Contact information
Practice address
160 S 7TH AVE, LA PUENTE, CA 91746-3211
(626) 961-8971
Mailing address
25 WESTMONT DR APT 11, ALHAMBRA, CA 91801-2939
(626) 393-1052
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
08/19/2013
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