Individual
CARRICK JEAN ADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.S.P.H
Contact information
Practice address
105 N LINCOLN ST, SANTA MARIA, CA 93458-4319
(805) 965-1001
Mailing address
5963 OAKHILL DR, SANTA MARIA, CA 93455-6001
(805) 934-5927
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A63883
CA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
A63883
CA
Other
Enumeration date
04/26/2007
Last updated
05/15/2019
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