Individual
CAROLYN MARIE PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1949 5TH ST STE 103, DAVIS, CA 95616-4026
(530) 304-4586
Mailing address
8980 S GATE AVE, SOUTH GATE, CA 90280-2915
(323) 237-4741
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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