Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0401X | Family Doctor - Addiction Medicine | C41594 | CA |
NPI | 1699866368 |
---|---|
Provider Name | Dr. Linda Hyder Ferry |
First Address | Yucaipa, CA 92399-9726 |
Second Address | Loma Linda, CA 92357-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 08/07/2007 |