Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | A129475 | CA |
NPI | 1043528979 |
---|---|
Provider Name | Dr. Doris Sofia Galina-Quintero |
First Address | Tempe, AZ 85284-3495 |
Second Address | Antioch, CA 94509-7436 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2010 |
Last Update Date | 03/10/2019 |