Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | LM16 | CA |
NPI | 1033241021 |
---|---|
Provider Name | Alison Osborn |
First Address | Grass Valley, CA 95945-0453 |
Second Address | Grass Valley, CA 95945-6228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2007 |
Last Update Date | 08/07/2007 |