Individual
TAMIKA MOZINA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A12408
CA
208M00000X
Hospitalist Physician
Primary
20A12408
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125056027
STATE LICENSE
IL
Enumeration date
07/10/2009
Last updated
05/21/2014
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