Search › California › 1710I1002X
Carrie Conn, IDC
NPI 1285020354 · on the registry since 2015
Practice
- Address
- 4981 Catoctin Dr Apt 6
San Diego, CA 92115 - Phone
- (757) 374-9167
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-04-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California