Individual
SHELAGH CARRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
2610 ROY AVE, CRESCENT CITY, CA 95531-9101
(707) 464-9664
Mailing address
2610 ROY AVE, CRESCENT CITY, CA 95531-9101
(707) 464-9664
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
CALM111
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CALM111
CALIFORNIA MEDICAL BOARD
CA
Enumeration date
05/31/2012
Last updated
05/31/2012
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