Individual
CAROLYN MARIE PATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30755 AULD RD STE B, MURRIETA, CA 92563-2581
(951) 696-3112
(951) 696-3445
Mailing address
30755 AULD RD STE B, MURRIETA, CA 92563-2581
(951) 696-3112
(951) 696-3445
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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