Individual
MRS. CARRIE MARIE PITCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6235 JOSIE ST, ATWATER, CA 95301-9106
(209) 761-6307
Mailing address
6235 JOSIE ST, ATWATER, CA 95301-9106
(209) 761-6307
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
201712910212
CA
Other
Enumeration date
06/14/2017
Last updated
07/21/2022
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