Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND1039 | CA |
NPI | 1083181838 |
---|---|
Provider Name | Dr. Shyamia Stone |
First Address | La Jolla, CA 92037-3435 |
Second Address | La Jolla, CA 92037-5427 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2018 |
Last Update Date | 30/10/2018 |