Individual
MRS. CAROLYN NAGEL LYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18582 BEACH BLVD STE 23A, HUNTINGTON BEACH, CA 92648-2012
(714) 964-4448
Mailing address
19162 YACHT LN, HUNTINGTON BEACH, CA 92646-2124
(714) 721-6356
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
18698
CA
Other
Enumeration date
01/02/2007
Last updated
04/03/2010
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