Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND842 | CA |
NPI | 1104361708 |
---|---|
Provider Name | Dr. Caitlan Readhead |
First Address | San Francisco, CA 94102-1675 |
Second Address | San Francisco, CA 94109-2539 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2017 |
Last Update Date | 05/01/2017 |