Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | A25903 | CA |
NPI | 1033146659 |
---|---|
Provider Name | Janice E Afruma |
First Address | Hayward, CA 94545-4339 |
Second Address | Pleasanton, CA 94566 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D37924 | (02) | CA |