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Individual

MR. STEVEN JOHN CARNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1250 MORENA BLVD, SAN DIEGO, CA 92110-3815
(619) 692-8750
Mailing address
18505 WISECARVER TRUCK TRL, JAMUL, CA 91935-3630
(760) 216-0450

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
MPSS-HQBZYP
CA
175T00000X
Peer Specialist
Primary
MPSS-HQZYP
CA

Other

Enumeration date
11/20/2024
Last updated
11/20/2024
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