Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 1669 | CA |
NPI | 1164856845 |
---|---|
Provider Name | Mrs. Josephine Christine Sensalo |
First Address | Placentia, CA 92870-3103 |
Second Address | Anaheim, CA 92805-5584 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2013 |
Last Update Date | 29/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1669 | CERTIFIED NURSE MIDWIFE (01) | CA |