Individual
CAROLYN JO PRINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8170 LAGUNA BLVD STE 113, ELK GROVE, CA 95758-7902
(916) 478-6561
Mailing address
4620 SAN ANTONIO RD, YORBA LINDA, CA 92886-7338
(714) 296-7124
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA63000
CA
Other
Enumeration date
07/13/2023
Last updated
08/31/2023
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