Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 20A6063 | CA |
N | 207Q00000X | Family Doctor | 20A6063 | CA |
NPI | 1225194392 |
---|---|
Provider Name | Dr. Aline Giselle Fournier |
First Address | Escondido, CA 92025-4337 |
Second Address | Escondido, CA 92025-4337 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00AX60036 | (05) | CA |
E88184 | (02) | CA |