Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 34810 | CA |
NPI | 1003439290 |
---|---|
Provider Name | Dr. Monica Vetter |
First Address | Venice, CA 90291-4704 |
Second Address | Los Angeles, CA 90049-5106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2020 |
Last Update Date | 02/02/2022 |