Carolyn Georgine Premo
NPI #1285520510 in San Mateo, California
Provider Information
- NPI Number
- 1285520510
- Entity Type
- Individual
- Name
- Carolyn Georgine Premo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Day Training/Habilitation Specialist
- Enumeration Date
- Jun 13, 2025
- Last Updated
- Dec 9, 2025
Practice Location
- Address
- 411 BOREL AVE STE 101
- City
- San Mateo
- State
- California
- ZIP Code
- 94402-3525
- Phone
- (650) 372-4080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training/Habilitation Specialist |
| Community Health Worker |
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