Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | G54014 | CA |
NPI | 1629201686 |
---|---|
Provider Name | Ms. Judith E. Kalinyak |
First Address | San Carlos, CA 94070-1657 |
Second Address | Fremont, CA 94538-1725 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2009 |
Last Update Date | 25/08/2009 |