Individual
MRS. DEANNE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
213 VIA GENOVA, CATHEDRAL CITY, CA 92234-4186
(949) 246-5214
Mailing address
213 VIA GENOVA, CATHEDRAL CITY, CA 92234-4186
(949) 246-5214
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
790493
CA
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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