Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 22336 | CA |
NPI | 1013150812 |
---|---|
Provider Name | Dr. Dominique Antoinette Francke |
First Address | Ladera Ranch, CA 92694-2126 |
Second Address | Ladera Ranch, CA 92694-2126 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2009 |
Last Update Date | 09/04/2009 |