Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 1108 | CA |
NPI | 1164546404 |
---|---|
Provider Name | Mrs. Lisa A Garber |
First Address | Visalia, CA 93291-6331 |
Second Address | Porterville, CA 93291-5839 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 08/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NMW1108 | (05) | CA |
P56413 | (02) | CA |