Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 53971 | CA |
Y | 213EG0000X | General Practice | 53971 | CA |
NPI | 1003937665 |
---|---|
Provider Name | Mrs. Jocelyn S. Buhler-Iverson |
First Address | Tulare, CA 93274-4214 |
Second Address | Tulare, CA 93274-4214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 08/07/2007 |