Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 31294 | CA |
NPI | 1043528573 |
---|---|
Provider Name | Dr. Jennifer Hui Young |
First Address | Santa Clara, CA 95051 |
Second Address | Santa Clara, CA 95051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2010 |
Last Update Date | 19/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
31294 | DC (01) | CA |