Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 7689 | AZ |
Y | 111N00000X | Chiropractor | DC-27701 | CA |
NPI | 1003970039 |
---|---|
Provider Name | Dr. Laura T. Sowers-Mokuahi |
First Address | San Diego, CA 92128-2143 |
Second Address | San Diego, CA 92128-2143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2006 |
Last Update Date | 24/04/2014 |