Individual
MS. CAROL FLOYD FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 499-3096
(415) 507-2672
Mailing address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 499-3096
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
724856
CA
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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