Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND-301 | CA |
NPI | 1104092311 |
---|---|
Provider Name | Micaela Finlayson |
First Address | Eagle Rock, CA 90041-1038 |
Second Address | Mission Viejo, CA 92691-5502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2008 |
Last Update Date | 07/01/2011 |