Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | CA 234132 | CA |
NPI | 1013029370 |
---|---|
Provider Name | Mrs. Mary Amparo Sedo |
First Address | Santa Ana, CA 92705-3574 |
Second Address | Santa Ana, CA 92705-8505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |