Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 104879731 | CA |
NPI | 1043882426 |
---|---|
Provider Name | Valli Lorraine Davis Barrioz |
First Address | Felton, CA 95018-9445 |
Second Address | Watsonville, CA 95076-3760 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2021 |
Last Update Date | 14/07/2021 |