NPI 1255539912

Carolyn D Gale, RNCAPRN

Practitioner Dietary Manager Costa Mesa, CA

Practice location

Address: 3505 Cadillac Ave Suite N-2, Costa Mesa, CA 92626-1429
Phone: (714) 979-5680
Mailing address: 9477 Reserve Dr, Corona, CA 92883-9254

Registered specialties

Dietary Manager Primary

Dietary & Nutritional Service Providers Taxonomy 132700000X Licence 385488 (CA)

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Registry record

NPI: 1255539912
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jul 2007
Record last updated: 7 Aug 2007

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.