Individual
MS. REBECCA ANN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17315 SQUIRREL CT., WEED, CA 96094
(409) 795-0799
Mailing address
17315 SQUIRREL CT., WEED, CA 96094
(409) 795-0799
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95000182
CA
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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