| Carlos Barahona | |
|
914 Mission Ave San Rafael CA 94901-6106 | |
| (415) 457-1925 | |
| (415) 457-1929 |
| Full Name | Carlos Barahona |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 914 Mission Ave, San Rafael, California |
| Authorized Official Name and Position | Carlos Barahona (SERVICE PROVIDER 3) |
| Authorized Official Contact | 4154571925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Barahona 914 Mission Ave San Rafael CA 94901-6106 Ph: (415) 457-1925 | Carlos Barahona 914 Mission Ave San Rafael CA 94901-6106 Ph: (415) 457-1925 |
| NPI Number | 1477731222 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 02/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477731222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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