Healthcare Provider Details

I. General information

NPI: 1689606485
Provider Name (Legal Business Name): VERONICA GRACE FALCAO LM, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

286 VINCENT DR
MOUNTAIN VIEW CA
94041-2210
US

IV. Provider business mailing address

286 VINCENT DR
MOUNTAIN VIEW CA
94041-2210
US

V. Phone/Fax

Practice location:
  • Phone: 650-961-9728
  • Fax: 650-963-1517
Mailing address:
  • Phone: 650-961-9728
  • Fax: 650-963-1517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberLM000044
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: