Individual
CAROLL DEPAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 W CIVIC CENTER DR # 205, SANTA ANA, CA 92703
(714) 245-0045
Mailing address
1202 W CIVIC CENTER DR # 205, SANTA ANA, CA 92703-2252
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
04/09/2007
Last updated
11/22/2023
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