Provider Demographics
NPI:1053651190
Name:MESSER, CARE (CBE, CD)
Entity Type:Individual
Prefix:
First Name:CARE
Middle Name:
Last Name:MESSER
Suffix:
Gender:F
Credentials:CBE, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11215 ZAPATA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-1722
Mailing Address - Country:US
Mailing Address - Phone:858-254-9515
Mailing Address - Fax:
Practice Address - Street 1:11215 ZAPATA AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-1722
Practice Address - Country:US
Practice Address - Phone:858-254-9515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADONA CERTIFIED374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula