Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NP0017X | Pediatric Chiropractor | DC19241 | CA |
NPI | 1427366525 |
---|---|
Provider Name | Dr. Caren B Cole |
First Address | Mill Valley, CA 94941-3639 |
Second Address | Mill Valley, CA 94941-3639 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2010 |
Last Update Date | 23/09/2010 |