Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NP0017X | Pediatric Chiropractor | 31698 | CA |
NPI | 1043522774 |
---|---|
Provider Name | Dr. Donnatila Dayao Sapiandante |
First Address | Carson, CA 90745-3027 |
Second Address | Artesia, CA 90701-3800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2010 |
Last Update Date | 10/07/2010 |