Provider Demographics
NPI:1396579074
Name:FARINAS, BARBARA CANTERO
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:CANTERO
Last Name:FARINAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1765 TRELLIS WAY
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91915-2409
Mailing Address - Country:US
Mailing Address - Phone:858-829-6582
Mailing Address - Fax:
Practice Address - Street 1:1765 TRELLIS WAY
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91915-2409
Practice Address - Country:US
Practice Address - Phone:858-829-6582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL-311129163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant