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CAROLYN BURNHAM R.N.

Neonatal Intensive Care >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1366803140

Individual Registrant:
 CAROLYN  BURNHAM R.N.
Gender: F
Sole Proprietor

Location and contact information for practice:
157 BRENTWOOD DRIVE  LAKE ARROWHEAD, CA 92352 US
Tel: 951-852-8560  Fax: --

Contact information for business:
PO BOX 332  RIMFOREST, CA 92378-0332 US
Tel: 951-852-8560  Fax: --

Registration Information:
NPI: 1366803140
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WN0002XNursing Service Providers
Registered Nurse
Neonatal Intensive Care
CA633524

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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