Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | G85272 | CA |
NPI | 1063423861 |
---|---|
Provider Name | Dr. Carol Frances Milazzo |
First Address | Roseville, CA 95661-4106 |
Second Address | Roseville, CA 95661-4106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G852720 | (05) | CA |
CLR 327134 | (05) | CA |
E95310 | (02) | CA |