Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND533 | CA |
NPI | 1063724508 |
---|---|
Provider Name | Ha Dang |
First Address | South Lake Tahoe, CA 96150-6499 |
Second Address | South Lake Tahoe, CA 96150 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2010 |
Last Update Date | 20/05/2019 |