Individual
ANNIE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
260 E 15TH ST, MERCED, CA 95341
(209) 381-1025
(209) 381-1056
Mailing address
260 E 15TH ST, MERCED, CA 95341
(209) 381-1025
(209) 381-1056
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
289130
CA
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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