Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 17903 | CA |
NPI | 1396039384 |
---|---|
Provider Name | Dr. Janfier Amanda Webster |
First Address | Commerce, CA 90040-3959 |
Second Address | Commerce, CA 90040-3959 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2011 |
Last Update Date | 07/06/2011 |