Individual
DR. CAROL A AHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19270 HIGHWAY 12, SONOMA, CA 95476-5414
(707) 939-6070
Mailing address
19270 HIGHWAY 12, SONOMA, CA 95476-5414
(707) 939-6070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G80132
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0085520
—
CA
Enumeration date
12/21/2006
Last updated
07/23/2014
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