Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND-426 | CA |
NPI | 1003116609 |
---|---|
Provider Name | Dr. Jennifer Abercrombie |
First Address | El Segundo, CA 90245-4475 |
Second Address | El Segundo, CA 90245-4475 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2010 |
Last Update Date | 26/02/2015 |