Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | A5301593 | CA |
NPI | 1538561881 |
---|---|
Provider Name | Dr. Arletha Lands |
First Address | Oakland, CA 94621-3138 |
Second Address | Oakland, CA 94621-3138 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2014 |
Last Update Date | 18/09/2014 |