NPI 1003633025

Carly Cole

Practitioner Physician Assistant Vallejo, CA

Practice location

Address: 1310 Club Dr, Vallejo, CA 94592-1187
Phone: (707) 638-5809
Mailing address: 900 Cambridge Dr Unit 55, Benicia, CA 94510-3627

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in California →

Registry record

NPI: 1003633025
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2024
Record last updated: 27 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.