Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | ND-276 | CA |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 95018303 | CA |
NPI | 1073775656 |
---|---|
Provider Name | Dr. Teresamaria Garchitorena Kunishi |
First Address | Oakland, CA 94611-1148 |
Second Address | San Francisco, CA 94102-5404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2008 |
Last Update Date | 09/09/2021 |