Individual
CARLYNNE RIVERA CALLEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
765 MEDICAL CENTER CT STE 218, CHULA VISTA, CA 91911-6600
(619) 841-7089
Mailing address
3825 RIVIERA DR APT 1, SAN DIEGO, CA 92109-6333
(619) 922-5591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95013305
CA
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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