Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | A116268 | CA |
NPI | 1174758585 |
---|---|
Provider Name | Alexandra I Duque Silva |
First Address | Martinez, CA 94553-3156 |
Second Address | Brentwood, CA 94513-2033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2009 |
Last Update Date | 01/12/2015 |