Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | LM592 | CA |
NPI | 1124593595 |
---|---|
Provider Name | Rachel L Wheeler |
First Address | San Marcos, CA 92078-5026 |
Second Address | San Marcos, CA 92078-5026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2018 |
Last Update Date | 25/02/2020 |