Angelina Maria Carretero
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Fortuna, CA
NPI 1740928225 · NPPES record last updated May 24, 2022
Key facts
- NPI
- 1740928225
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1001 Lawndale Dr Apt 10
Fortuna, CA 95540-2827 - Phone
- (707) 393-1377
- NPI assigned
- May 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1001 Lawndale Dr Apt 10
Fortuna, CA 95540-2827
Mailing address
1001 Lawndale Dr Apt 10
Fortuna, CA 95540-2827
Phone (707) 393-1377
Other names
- Angelina Maria Villavicencio
Other providers in Fortuna, CA
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- Erick Carrera
- Caris Cassady
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- Susie PA Cha
All providers in Fortuna, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.