Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 1942 | CA |
NPI | 1164718334 |
---|---|
Provider Name | Cayo Kaweah Alba |
First Address | Lindsay, CA 93247-1426 |
Second Address | Lindsay, CA 93247-1426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2011 |
Last Update Date | 25/06/2011 |