Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A124500 | CA |
NPI | 1043535792 |
---|---|
Provider Name | Marelle Leone Yehuda |
First Address | Mountain View, CA 94040-6203 |
Second Address | Capitola, CA 95010-2106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2010 |
Last Update Date | 21/03/2018 |