Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | LM102 | CA |
NPI | 1013094655 |
---|---|
Provider Name | Mrs. Cheryl Ann Vaught |
First Address | Hemet, CA 92545-3513 |
Second Address | Hemet, CA 92545-3513 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 18/12/2014 |