Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | CNM1301 | CA |
NPI | 1134299134 |
---|---|
Provider Name | Maria Finnegan |
First Address | Ukiah, CA 95482-6540 |
Second Address | Ukiah, CA 95482-6540 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 08/07/2007 |