Individual
DESIREE CARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 COURT ST STE 100, JACKSON, CA 95642-2162
(209) 257-1244
Mailing address
601 COURT ST STE 100, JACKSON, CA 95642-2162
(209) 256-6874
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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