Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 31360 | CA |
NPI | 1003048166 |
---|---|
Provider Name | Dr. Jesika Rhoda Menasaka |
First Address | Whittier, CA 90604-4051 |
Second Address | Whittier, CA 90604-4051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2009 |
Last Update Date | 21/08/2009 |