person
Mia Carrasco, MD
General Practice Physician in Camp Pendleton, California
NPI 1053054270

Mia Carrasco is a General Practice Physician based in Camp Pendleton, CA. Mia Carrasco practices in Camp Pendleton, CA and has the professional credentials of MD. The NPI Number for Mia Carrasco is 1053054270 and holds a License No. 0101279645 (California).

The current practice location address for Mia Carrasco is 200 Mercy Circle, Camp Pendleton, CA and can be reached out via phone at 480-815-3827.

Location: 200 Mercy Circle, Camp Pendleton, CA, 92055-5191
person
Provider Profile Details
NPI Number
1053054270
Provider Name
Mia Carrasco
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
200 Mercy Circle, Camp Pendleton, CA, 92055-5191
Phone Number
480-815-3827
Fax Number
Provider Enumeration Date
04/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Mercy Circle
City
State
Zip
92055-5191
Phone Number
480-815-3827
Fax Number
person
Provider Business Mailing Address Details
Address
200 Mercy Circle
City
State
Zip
92055-5191
Phone Number
480-815-3827
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
0101279645 (Virginia)
Definition
Definition to come...
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