Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 32794 | CA |
NPI | 1003210840 |
---|---|
Provider Name | Dr. Gabriella Cole |
First Address | San Francisco, CA 94114-3814 |
Second Address | San Francisco, CA 94117-3330 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2014 |
Last Update Date | 21/10/2014 |