| Doctor Name: | MRS. CAROLYN DU |
| NPI Number: | 1093169542 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 513915 |
| Business Practice Address: | 31201 Paseo Miraloma San Juan Capistrano, CA - 92675 |
| Business Phone Number: | 9496064554 |
| Business Fax Number: | |
| Mailing Address: | 1301 Avenida Cesar Chavez, MONTEREY PARK |
| State: | CA |
| Postal Code: | 90017 |
| Phone Number: | 9496064554 |
| Fax Number: | |
| NPI Enumeration Date: | 04/21/2016 |
| NPI Last Update Date: | 04/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 513915 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |