Individual
CAROLINE THERESA URBANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 N MAGNOLIA AVE STE 100, CLOVIS, CA 93611-9205
(559) 320-0531
(559) 320-0539
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
58002
CA
363AS0400X
Surgical Physician Assistant
Primary
58002
CA
Other
Enumeration date
12/02/2019
Last updated
04/17/2020
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