Individual
CARLA DAWN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1559 WATASHEAMU RD, GARDNERVILLE, NV 89460-7455
(775) 265-4215
Mailing address
5610 LAUREL ROAD, CARSON CITY, NV 89701
(775) 885-2981
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5848
NV
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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