Individual
DAVID CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 HICKORY WOOD LN, HEMET, CA 92545-8069
(951) 795-1623
Mailing address
1650 HICKORY WOOD LN, HEMET, CA 92545-8069
(951) 795-1623
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/08/2023
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