Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 33563 | CA |
NPI | 1003264516 |
---|---|
Provider Name | Anne-Isabelle Sophia Reme |
First Address | San Francisco, CA 94109-2539 |
Second Address | San Francisco, CA 94109-2539 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2016 |
Last Update Date | 25/05/2016 |