Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | G53636 | CA |
NPI | 1669530937 |
---|---|
Provider Name | Dr. June Annette Engle |
First Address | Alamo, CA 94507 |
Second Address | Alamo, CA 94507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A89965 | (02) |