Individual
CARL D ENGELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
7484 HOLWORTHY WAY, APT 139, SACRAMENTO, CA 95842
(610) 787-0429
Mailing address
7484 HOLWORTHY WAY, APT 139, SACRAMENTO, CA 95842
(610) 787-0429
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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