Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | DC28818 | CA |
NPI | 1114031986 |
---|---|
Provider Name | Dr. Charmaine Magale |
First Address | Sacramento, CA 95817-2515 |
Second Address | Sacramento, CA 95618 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 21/02/2017 |