Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath |
NPI | 1063763142 |
---|---|
Provider Name | Dr. Virginia Schoenfeld |
First Address | San Clemente, CA 92673-6868 |
Second Address | Dana Point, CA 92624 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2012 |
Last Update Date | 12/09/2019 |