Individual
CARLY MICHELLE MEMOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 FRONT ST, SANTA CRUZ, CA 95060-4402
(831) 427-3387
(831) 427-3387
Mailing address
126 FRONT ST, SANTA CRUZ, CA 95060-4402
(831) 427-3387
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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