Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 20440 | CA |
NPI | 1265643589 |
---|---|
Provider Name | Dr. Christina E West |
First Address | Sutter Creek, CA 95685-4118 |
Second Address | Sutter Creek, CA 95685-4118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 25/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
20440 | CHIROPRACTIC LICENSE NUMB (01) | CA |
U27415 | (02) | CA |