Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC23849 | CA |
NPI | 1093938870 |
---|---|
Provider Name | Dr. Cynthia Lynne Humphreys |
First Address | Sunnyvale, CA 94087-1033 |
Second Address | Sunnyvale, CA 94087-1033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 08/07/2007 |