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NPI Code Detail

MEDICARE: ALFREDO I CARRION CMT

MEDICARE:   ALFREDO I CARRION  CMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist89385CA

General Provider Information

NPI Number : 1588308472
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALFREDO I CARRION CMT
Provider Business Mailing Address
First Line : 19067 PARADISE MOUNTAIN RD
Second Line :
City : VALLEY CENTER
State : CA
Zip : 92082-7505
Country : US
Telephone Number : 760-666-0213
Fax Number :
Provider Business Practice Location Address
First Line : 28714 VALLEY CENTER RD
Second Line :
City : VALLEY CENTER
State : CA
Zip : 92082-6554
Country : US
Telephone Number : 760-666-0213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2022
Last Update Date : 04/26/2022

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Directions to “ ALFREDO I CARRION CMT” Practice Location

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