Individual
CAROLYN INDREBOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 MAIN ST, ROSEVILLE, CA 95678-2232
(530) 887-3536
Mailing address
124 MAIN ST, ROSEVILLE, CA 95678-2232
(530) 887-3536
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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