Provider Demographics
NPI:1104092311
Name:FINLAYSON, MICAELA (ND)
Entity type:Individual
Prefix:
First Name:MICAELA
Middle Name:
Last Name:FINLAYSON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2769 W BROADWAY
Mailing Address - Street 2:
Mailing Address - City:EAGLE ROCK
Mailing Address - State:CA
Mailing Address - Zip Code:90041-1038
Mailing Address - Country:US
Mailing Address - Phone:949-388-8117
Mailing Address - Fax:949-900-6980
Practice Address - Street 1:27001 LA PAZ RD
Practice Address - Street 2:STE 372
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-5502
Practice Address - Country:US
Practice Address - Phone:949-388-8117
Practice Address - Fax:949-900-6980
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-301175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath