Individual
CARLA JAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1017 TENNESSEE ST, VALLEJO, CA 94590-4547
(707) 647-1520
Mailing address
456 COTTONWOOD ST, VACAVILLE, CA 95688-2635
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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