Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0000000 | NJ |
N | 111NI0900X | Internist | 0000000 | NJ |
N | 207R00000X | Internist | R1721 | TX |
N | 111NI0900X | Internist | R1721 | TX |
NPI | 1003186644 |
---|---|
Provider Name | Mrs. Dana Ciobanu |
First Address | Sacramento, CA 95827-2539 |
Second Address | Auburn, CA 95602-2410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2012 |
Last Update Date | 13/04/2017 |