Provider Demographics
NPI:1134197767
Name:STRICKLAND, KARINE ANNE (RDHAP)
Entity type:Individual
Prefix:MS
First Name:KARINE
Middle Name:ANNE
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 LEE ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-1949
Mailing Address - Country:US
Mailing Address - Phone:831-425-8142
Mailing Address - Fax:831-425-8141
Practice Address - Street 1:370 LEE ST
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-1949
Practice Address - Country:US
Practice Address - Phone:831-425-8142
Practice Address - Fax:831-425-8141
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARDHAP 112124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH-00112-01OtherDENTI-CAL PROVIDER ID