Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | ||
N | 225C00000X | Rehabilitation Counselor |
NPI | 1134662216 |
---|---|
Provider Name | Sequoia Morris |
First Address | Fairfield, CA 94533 |
Second Address | Fairfield, CA 94533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2016 |
Last Update Date | 22/11/2016 |