Basic Information
| Provider Information | |||||||||
| NPI: | 1174807713 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CANO | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | AZUCENA | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1104 BURGUNDY CT | ||||||||
| Address2: | |||||||||
| City: | MC FARLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932501655 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6615864884 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1400 S UNION AVE | ||||||||
| Address2: | STE. 100 | ||||||||
| City: | BAKERSFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 933074179 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6613978775 | ||||||||
| FaxNumber: | 6613978286 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/30/2011 | ||||||||
| LastUpdateDate: | 03/13/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041S0200X | Y | Behavioral Health & Social Service Providers | Social Worker | School |
No ID Information.