Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 17662 | CA |
NPI | 1760695894 |
---|---|
Provider Name | Dr. Joana Maria Da Rosa |
First Address | Danville, CA 94506-1225 |
Second Address | San Francisco, CA 94108-3706 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U31744 | (02) | CA |