Individual
MISS CAROLYN MARIE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1401 AVOCADO AVE, SUITE 307, NEWPORT BEACH, CA 92660-7720
(949) 720-1944
(949) 720-9710
Mailing address
1401 AVOCADO AVE, SUITE 307, NEWPORT BEACH, CA 92660-7720
(949) 720-1944
(949) 720-9710
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19869
CA
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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