Provider Demographics
NPI:1952137226
Name:FREE, YSABEL AURORA
Entity type:Individual
Prefix:
First Name:YSABEL
Middle Name:AURORA
Last Name:FREE
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 1:36330 MATTOLE RD
Mailing Address - Street 2:
Mailing Address - City:PETROLIA
Mailing Address - State:CA
Mailing Address - Zip Code:95558
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:36330 MATTOLE RD
Practice Address - Street 2:
Practice Address - City:PETROLIA
Practice Address - State:CA
Practice Address - Zip Code:95558
Practice Address - Country:US
Practice Address - Phone:707-672-3056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty