Individual
MS. ALICE CAROL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN PHN
Contact information
Practice address
529 I STREET, EUREKA, CA 95501-1116
(707) 268-2105
(707) 445-6091
Mailing address
529 I STREET, EUREKA, CA 95501-1116
(707) 268-2105
(707) 445-6091
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
710896
CA
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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