Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | G20545 | CA |
NPI | 1003835059 |
---|---|
Provider Name | Frances Anna Duda |
First Address | Laguna Beach, CA 92651-9494 |
Second Address | Laguna Beach, CA 92651-9494 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 08/07/2007 |