KATHLEEN JUDITH CARROLL-HACK

SACRAMENTO, CA
NPI1679660294
Former NameKATHLEEN JUDITH CARROLL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA  13696)
Enumeration Date2006-10-06
Last Update Date2007-07-08
Business Address
Ms. KATHLEEN JUDITH CARROLL-HACK PNP
7275 E SOUTHGATE DR SUITE 306
SACRAMENTO, CA 95823-2628
Phone number: 916-422-6635
Mailing Address
Ms. KATHLEEN JUDITH CARROLL-HACK PNP
130 ORRINGTON CIR
SACRAMENTO, CA 95835-1623
Phone number: 916-419-5319
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