Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | G48337 | CA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | G48337 | CA |
NPI | 1629246798 |
---|---|
Provider Name | Ms. Deborah June Freehling |
First Address | Mountain View, CA 94040 |
Second Address | Mountain View, CA 94040 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2008 |
Last Update Date | 14/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F18258 | (02) | CA |