Individual
CARLA S HURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
555 S 13TH ST, B, GROVER BEACH, CA 93433-2866
(805) 473-4712
(805) 473-1830
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8030
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17951
CA
Other
Enumeration date
07/02/2006
Last updated
06/29/2021
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