Individual
CAROLYN BURNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
157 BRENTWOOD DRIVE, LAKE ARROWHEAD, CA 92352
(951) 852-8560
Mailing address
PO BOX 332, RIMFOREST, CA 92378-0332
(951) 852-8560
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
633524
CA
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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