Individual
CARYN AUDREY CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
744 EAST MAIN ST., VENTURA, CA 93001
(805) 407-3600
Mailing address
2859 MOHAWK AVE, VENTURA, CA 93001-1220
(805) 407-3600
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 9992
CA
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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