SearchCalifornia101YA0400X

Carmen Early, SUDRC 15389

NPI 1790502680 · on the registry since 2024 · sole proprietor

Practice

Address
7806 Sierra Ave Apt 314
Fontana, CA 92336
Phone
(909) 688-8003

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-23

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