Most Relevant Information
Provider Data
| NPI Number: | 1003475815 |
| Provider Name: | CAROLYN J FERLIC MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/06/2019 |
| Last Updated: | 03/02/2024 |
Provider Practice Location
9300 VALLEY CHILDRENS PL # SC05
MADERA
CA
936368761
Practice Location Phone/Fax
| Phone: | 5593535700 |
| Fax: |
Provider Mailing Location
9300 VALLEY CHILDRENS PL # SC05
MADERA
CA
936368761
Provider Mailing Phone/Fax
| Phone: | 5593535700 |
| Fax: |