Individual
CAROLE DIANE VAILLANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11512 B AVE, AUBURN, CA 95603-2605
(530) 886-2966
(530) 889-7293
Mailing address
11512 B AVE, AUBURN, CA 95603-2605
(530) 886-2966
(530) 889-7293
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
520522
CA
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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