PHYLLIS CRISOSTOMO CARROLL

NOVATO, CA
NPI1417456351
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  9008368)
Enumeration Date2018-02-06
Last Update Date2018-02-06
Business Address
PHYLLIS CRISOSTOMO CARROLL FNP-C
6100 REDWOOD BLVD
NOVATO, CA 94945-4501
Phone number: 415-448-1500
Mailing Address
PHYLLIS CRISOSTOMO CARROLL FNP-C
405 HOLLY DR
SAN RAFAEL, CA 94903-2441
Phone number: 510-520-0488
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