Individual
CAROL LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
416 PAYRAN ST, PETALUMA, CA 94952-5907
(707) 778-6242
Mailing address
416 PAYRAN ST, PETALUMA, CA 94952-5907
(707) 778-6242
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
20A22657
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
OS13851
FL
Other
Enumeration date
07/14/2014
Last updated
06/05/2025
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