SearchCalifornia164X00000X

Michelle South, LVN

NPI 1699045450 · on the registry since 2012 · sole proprietor

Practice

Address
18285 China Grade Rd
#3
Boulder Creek, CA 95006
Phone
(831) 419-3116

Registry record

Primary taxonomy
164X00000X
164X00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-01-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California