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Individual

CAROLYN DIZON

Active
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Individual

CAROLYN DIZON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
289440
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
289440
CORDILLERAS MHRC
CA
Enumeration date
12/06/2021
Last updated
12/06/2021
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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