Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | A98618 | CA |
NPI | 1003015751 |
---|---|
Provider Name | Dr. Denise C Alabart Reyes |
First Address | San Francisco, CA 94109-3003 |
Second Address | San Quentin, CA 94964-1000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2007 |
Last Update Date | 22/06/2010 |