Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | NAT1000467 | DC |
Y | 175L00000X | Homeopath |
NPI | 1407094741 |
---|---|
Provider Name | Miss Carola I. Cuenca |
First Address | Aptos, CA 95003-4001 |
Second Address | Aptos, CA 95003-4001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2009 |
Last Update Date | 23/01/2009 |