Individual
CAROLYN M. SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
920 GRAND AVE, MARIN COUNTY HEALTH CLINICS, SAN RAFAEL, CA 94901-3506
(415) 499-6841
(415) 499-6855
Mailing address
920 GRAND AVE, MARIN COUNTY HEALTH CLINICS, SAN RAFAEL, CA 94901-3506
(415) 499-6841
(415) 499-6855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G060321
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G603210
—
CA
Enumeration date
10/04/2006
Last updated
07/08/2007
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