Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND1156 | CA |
NPI | 1134745961 |
---|---|
Provider Name | Dr. Linda Nykin |
First Address | Alameda, CA 94501-1048 |
Second Address | Alameda, CA 94501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2020 |
Last Update Date | 18/09/2020 |