Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
163WG0000X | |||
Diabetes Educator |
163WD0400X |
| NPI # | 1083578702 |
| LBN Legal business name | CARRASCO WELLNESS AND DIABETES CARE LLC |
| Authorized official | PAULINA CARRASCO - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/16/2025 |
| Last updated | 12/16/2025 - About 6 months ago |
| Identifiers | n/a |
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