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Individual

CAROL S. HAVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2025 MORSE AVE, SACRAMENTO, CA 95825-2115
(916) 973-5000
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3429
(510) 625-6262

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G43386
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G433860
CA
Enumeration date
11/01/2006
Last updated
07/08/2007
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