TEODORO LAURO CARACHURE CHARCO

LOS ANGELES, CA
NPI1568220788
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95029381)
Enumeration Date2024-03-12
Last Update Date2024-03-12
Business Address
TEODORO LAURO CARACHURE CHARCO NP
3030 W OLYMPIC BLVD STE 217
LOS ANGELES, CA 90006-6507
Phone number: 213-550-2159
Mailing Address
TEODORO LAURO CARACHURE CHARCO NP
1722 MITCHELL AVE APT 91
TUSTIN, CA 92780-6363
Phone number: 714-409-7718
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