Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND-303 | CA |
NPI | 1013160472 |
---|---|
Provider Name | Dr. Maki Takashima |
First Address | Monterey, CA 93940-4438 |
Second Address | Monterey, CA 93940-4438 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2008 |
Last Update Date | 29/10/2008 |