Individual
CARLA M. FINNICUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 BICKWICK LN, PALM COAST, FL 32137-9363
(386) 931-5863
(386) 445-5201
Mailing address
39 BICKWICK LN, PALM COAST, FL 32137-9363
(386) 931-5863
(386) 445-5201
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
FL
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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