Individual
MS. LORNA MARINA COETZEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CARETAKER
Contact information
Practice address
1591 MCLELLAN RD, FELTON, CA 95018-9512
(831) 706-7166
Mailing address
1591 MCLELLAN RD, FELTON, CA 95018-9512
(831) 706-7166
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
1922644970
CA
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922644970
PALO ALTO HEALTH CARE SERVICES
CA
Enumeration date
11/25/2019
Last updated
01/20/2023
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