Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | LM275 | CA |
NPI | 1124338801 |
---|---|
Provider Name | Dania Mahmoud Kabbani Shelton |
First Address | Nevada City, CA 95959 |
Second Address | Nevada City, CA 95959 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2010 |
Last Update Date | 15/10/2010 |