Organization
CALIFORNIA POLYTECHNIC STATE UNIVERSITY AT SAN LUIS OBISPO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL A. FREEMAN FNP (NURSE PRACTITIONER)
(805) 756-1211
Entity
Organization
Contact information
Practice address
CAL POLY HEALTH SERVICES, GRAND AVE., SAN LUIS OBISPO, CA 93407
(805) 756-1211
(805) 756-5298
Mailing address
CAL POLY STATE UNIVERSITY HEALTH SERVICES, SAN LUIS OBISPO, CA 93407
(805) 756-1211
(805) 745-5298
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
RN 358948
CA
Other
Enumeration date
12/13/2006
Last updated
08/25/2008
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