| NPI | 1720415011 |
|---|---|
| Former Legal Business Name | RAILEEN CARREON LAGOC,MD.,INC. |
| Entity Type | Organization |
| Authorized Contact | RAILEEN CARREON LAGOC Physician 530-244-6534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A72405) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-03 |