Individual
SUSAN CARLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPI
Contact information
Practice address
2 PLEASANT WALK, ALISO VIEJO, CA 92656-4234
(949) 505-3944
Mailing address
2 PLEASANT WALK, ALISO VIEJO, CA 92656-4234
(949) 505-3944
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F4786945
—
CA
Enumeration date
10/13/2020
Last updated
10/13/2020
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