Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | DC13756 | CA |
NPI | 1427148816 |
---|---|
Provider Name | Dr. Cheryl Ann Comeau |
First Address | Laguna Niguel, CA 92677-2260 |
Second Address | Laguna Niguel, CA 92677-2260 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 08/07/2007 |