Individual
COLLEEN SEVEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 CARMEL RD, MERCED, CA 95341-5422
(209) 201-1044
Mailing address
414 CARMEL RD, MERCED, CA 95341-5422
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
CA
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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