Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND655 | CA |
NPI | 1043622327 |
---|---|
Provider Name | Dr. Nadia Kharas Mistry |
First Address | Redlands, CA 92373-5281 |
Second Address | Redlands, CA 92373-5281 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2014 |
Last Update Date | 21/05/2014 |