Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND38 | CA |
NPI | 1053502062 |
---|---|
Provider Name | Dr. Andreas W Sijbrant |
First Address | San Carlos, CA 94070-3916 |
Second Address | San Carlos, CA 94070-3916 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2007 |
Last Update Date | 09/04/2021 |