Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 126800000X | Dental Assistant |
NPI | 1013437300 |
---|---|
Provider Name | Mrs. Cara Lynn Meade |
First Address | Warsaw, OH 43844-9401 |
Second Address | Warsaw, OH 43844 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2017 |
Last Update Date | 27/06/2017 |