Individual
HUGO CARREON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3446 PARK BLVD # 201, SAN DIEGO, CA 92103-5209
(619) 318-6102
Mailing address
3776 1ST AVE APT C, SAN DIEGO, CA 92103-4030
(619) 318-6102
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25326
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A3118772
WORKMENS COMPS
CA
Enumeration date
02/19/2021
Last updated
02/24/2021
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