Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | A154830 | CA |
NPI | 1144647421 |
---|---|
Provider Name | Miss Ana Isabel Velazquez Manana |
First Address | San Francisco, CA 94143 |
Second Address | New York, NY 10003-3821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2014 |
Last Update Date | 06/07/2021 |