Individual
DILLON PATRICK CARRASCO O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1261 TRAVIS BLVD STE 200, FAIRFIELD, CA 94533-4800
(619) 964-0044
Mailing address
1818 MOORE BLVD APT 112, DAVIS, CA 95618-7636
(619) 964-0044
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15671
CA
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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