Individual
MADDISON CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3040 N CAMBAY CT, A, WASILLA, AK 99654-1213
(661) 319-8013
Mailing address
3040 N CAMBAY CT, A, WASILLA, AK 99654-1213
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
151143
CA
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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