Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 477 | CA |
NPI | 1124561014 |
---|---|
Provider Name | Rachel Flores |
First Address | Oceanside, CA 92056-4731 |
Second Address | Oceanside, CA 92056-4731 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2016 |
Last Update Date | 23/11/2016 |