Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1770825580 |
---|---|
Provider Name | Mrs. Daxa Vijay Vaishnav |
First Address | Milpitas, CA 95035-5422 |
Second Address | Milpitas, CA 95035-5422 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2013 |
Last Update Date | 19/03/2013 |