Individual
CARLOS ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4800
Mailing address
PO BOX 64000, DRAWER 541535, DETROIT, MI 48264-0001
(734) 786-8052
(734) 786-4932
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0038825
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
4704258532
MI
Other
Enumeration date
09/17/2009
Last updated
06/12/2025
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