CIARAN GEORGE CARROLL

CLEARLAKE, CA
NPI1720597339
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95006668)
Enumeration Date2017-09-26
Last Update Date2022-01-13
Business Address
CIARAN GEORGE CARROLL FNP, MSN
15230 LAKESHORE DR
CLEARLAKE, CA 95422
Phone number: 707-995-2400
Mailing Address
CIARAN GEORGE CARROLL FNP, MSN
15230 LAKESHORE DR
CLEARLAKE, CA 95422-8107
Phone number: