Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | G39981 | CA |
NPI | 1093800500 |
---|---|
Provider Name | Nancy Sue Cetel |
First Address | Rancho Santa Fe, CA 92091-0132 |
Second Address | Rancho Santa Fe, CA 92091-0132 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |