Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 403 | CA |
NPI | 1083003578 |
---|---|
Provider Name | Whitney Stolman |
First Address | Oceanside, CA 92054-5963 |
Second Address | Oceanside, CA 92054-5963 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2015 |
Last Update Date | 21/01/2015 |