Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND358 | CA |
NPI | 1043440076 |
---|---|
Provider Name | Dr. Constance Trandafir Dutton |
First Address | Solana Beach, CA 92075 |
Second Address | San Diego, CA 92122-1176 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2009 |
Last Update Date | 24/07/2009 |