Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 44875 | CA |
NPI | 1013315514 |
---|---|
Provider Name | Claire Ferrari |
First Address | Berkeley, CA 94707-1620 |
Second Address | Kensington, CA 94707-1401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2014 |
Last Update Date | 15/12/2014 |