Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | SL1203 | CA |
NPI | 1144336736 |
---|---|
Provider Name | Ms. Katherine Mary Frank |
First Address | Sun City, CA 92586-2207 |
Second Address | Sun City, CA 92586-2207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 08/07/2007 |