Carrera Logan

NPI #1477424992 in Rialto, California

Provider Information

NPI Number: 1477424992
Entity Type: Individual
Name: Carrera Logan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 16, 2025
Last Updated: Sep 16, 2025

Practice Location

Address: 2051 N PALM AVE
City: Rialto
State: California
ZIP Code: 92377-4625
Phone: (909) 746-6221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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