Individual
CAROL JANE MANNERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81719 DR CARREON BLVD STE A, INDIO, CA 92201-5518
(760) 347-0707
(760) 347-3378
Mailing address
78617 BENT CANYON CT, BERMUDA DUNES, CA 92203-1058
(614) 579-5616
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95014644
CA
Other
Enumeration date
06/01/2020
Last updated
08/03/2020
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