Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 619 | CA |
NPI | 1174123954 |
---|---|
Provider Name | Sydney Noelle Jones |
First Address | Berkeley, CA 94703-2320 |
Second Address | Berkeley, CA 94705-1984 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2020 |
Last Update Date | 29/10/2020 |