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Search › California › 171M00000X

Carol Funcannon

NPI 1700037462 · on the registry since 2008

Practice

Address
301 S State St
Ukiah, CA 95482
Phone
(707) 468-9347
Organisation at this address
Community Care Management Corp
Multipurpose Senior Services Program
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-09-30

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