Manuel Carollo

NPI 1255528998 · on the registry since 2007 · sole proprietor

Practice

Address: 3467 W Shaw Ave
Suite #102
Fresno, CA 93711
Phone: (559) 274-0299
Organisation at this address: Fresno County Homeless Outreach Multiservice Effort
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 37

Registry record

Primary taxonomy: 164X00000X
164X00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-09-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California