Provider Demographics
NPI:1093697187
Name:FLORES-CONOLLEY, KARINA LETICIA
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:LETICIA
Last Name:FLORES-CONOLLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 N CARPENTER RD
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95351-1153
Mailing Address - Country:US
Mailing Address - Phone:209-523-3710
Mailing Address - Fax:
Practice Address - Street 1:1620 N CARPENTER RD
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95351-1153
Practice Address - Country:US
Practice Address - Phone:209-523-3710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion