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Individual

CAROLYN MAI LE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
18885 DEODAR ST, FOUNTAIN VALLEY, CA 92708-7222
(714) 878-8838
Mailing address
18885 DEODAR ST, FOUNTAIN VALLEY, CA 92708-7222
(714) 878-8838

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95037305
CA

Other

Enumeration date
10/10/2025
Last updated
10/10/2025
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