Individual
CAROL MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
922 BEVINS CT, LAKEPORT, CA 95453-9754
(707) 263-1090
Mailing address
922 BEVINS CT, LAKEPORT, CA 95453-9754
(707) 263-1090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
829684
CA
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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