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Individual

CAROLYN ULITSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CA-CMT

Contact information

Practice address
12811 AL COSTA BLVD, SAN RAMON, CA 94583
(925) 719-3228
(925) 425-0662
Mailing address
12811 AL COSTA BLVD, SAN RAMON, CA 94583
(925) 719-3228
(925) 425-0662

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21728
CA

Other

Enumeration date
12/31/2012
Last updated
12/31/2012
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