Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND-280 | CA |
NPI | 1154597466 |
---|---|
Provider Name | Dr. Abida Zohal Wali |
First Address | Temecula, CA 92590-5626 |
Second Address | Temecula, CA 92590-5626 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2008 |
Last Update Date | 15/01/2022 |