Individual
MRS. CAROLINA FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23601 AVALON BLVD, SUITE # 207, CARSON, CA 90745
(310) 513-0687
(310) 513-0689
Mailing address
23601 AVALON BLVD, SUITE # 207, CARSON, CA 90745
(310) 513-0687
(310) 513-0689
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
769604
CA
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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