Individual
CAROLYN MULLONKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 EUREKA RD, KAISER PERMANENTE EMERGENCY DEPARTMENT, ROSEVILLE, CA 95661-3027
(916) 784-4000
Mailing address
1600 EUREKA RD, KAISER PERMANENTE EMERGENCY DEPARTMENT, ROSEVILLE, CA 95661-3027
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A124220
CA
Other
Enumeration date
05/22/2009
Last updated
01/14/2022
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