Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | G049491 | CA |
Y | 208000000X | Pediatrician | G049491 | CA |
NPI | 1427484690 |
---|---|
Provider Name | Wendy J Farquhar |
First Address | Seaside, CA 93955-5700 |
Second Address | Seaside, CA 93955-5700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2013 |
Last Update Date | 19/09/2013 |