Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A124772 | CA |
NPI | 1003048786 |
---|---|
Provider Name | Hailey Rose Macnear |
First Address | Sacramento, CA 95825-5595 |
Second Address | Sacramento, CA 95825-5595 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2009 |
Last Update Date | 23/01/2018 |