Individual
MS. CAROLYNN RUTH BELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1236 DE MOLL DR, REDDING, CA 96002-3220
(530) 921-0018
(530) 319-3799
Mailing address
1236 DE MOLL DR, REDDING, CA 96002-3220
(530) 921-0018
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B8011905
CA
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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