Individual
CARE UDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
801 EMPIRE ST, FAIRFIELD, CA 94533-5702
(707) 425-5744
Mailing address
801 EMPIRE ST, FAIRFIELD, CA 94533-5702
(707) 425-5744
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3066
—
CA
Enumeration date
01/25/2007
Last updated
02/28/2017
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