Individual
CARRIE JANISKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, ATC
Contact information
Practice address
1801 COLORADO AVE, STE 120, TURLOCK, CA 95382-2706
(209) 216-3456
Mailing address
1801 COLORADO AVE, STE 120, TURLOCK, CA 95382-2706
(209) 216-3456
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A14188
CA
207Q00000X
Family Medicine Physician
5101018623
MI
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
12/04/2006
Last updated
03/11/2016
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