Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 28423 | CA |
Y | 111NN1001X | Nutrition | 28423 | CA |
NPI | 1235678707 |
---|---|
Provider Name | Dr. Brandy Zachary |
First Address | Walnut Creek, CA 94598-3534 |
Second Address | Walnut Creek, CA 94598-3534 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2017 |
Last Update Date | 01/11/2021 |