Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A121054 | CA |
NPI | 1063651446 |
---|---|
Provider Name | Mrs. Tene Aneka Cage |
First Address | San Francisco, CA 94143-0112 |
Second Address | San Francisco, CA 94143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2009 |
Last Update Date | 15/06/2018 |