Individual
MS. CAROL J HADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-BC
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-5246
Mailing address
PO BOX 28644, SAN DIEGO, CA 92198-0644
(858) 676-0088
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
434639
TX
163WC1500X
Community Health Registered Nurse
434639
TX
163WD0400X
Diabetes Educator Registered Nurse
434639
TX
163WP2201X
Ambulatory Care Registered Nurse
434639
TX
Other
Enumeration date
03/08/2007
Last updated
09/11/2025
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