Individual
MS. EILEEN M CAROL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
3325 CHANATE RD, SANTA ROSA, CA 95404-1707
(707) 576-4413
Mailing address
863 SHADY OAK DR, SANTA ROSA, CA 95404-2783
(707) 537-9017
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
160008
CA
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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