Individual
CHERYL ELIZABETH CARBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3208 TERRACE VIEW AVE, ANTIOCH, CA 94531-6652
(925) 813-5505
Mailing address
3208 TERRACE VIEW AVE, ANTIOCH, CA 94531-6652
(925) 813-5505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95302407
CA
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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