Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND1030 | CA |
NPI | 1114494192 |
---|---|
Provider Name | Anthony T Frank |
First Address | San Diego, CA 92121-1601 |
Second Address | San Diego, CA 92121-1601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2018 |
Last Update Date | 29/10/2018 |