Individual
KAREN MARCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4165 BLACKHAWK PLAZA CIRCLE, PRIVATE SUITE 250, DANVILLE, CA 94506
(510) 300-5221
Mailing address
4165 BLACKHAWK PLAZA CIRCLE, PRIVATE SUITE 250, DANVILLE, CA 94506
(510) 300-5221
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
KK358154
CA
Other
Enumeration date
09/21/2019
Last updated
09/21/2019
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