Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1942686266 |
---|---|
Provider Name | Ms. Rhonda Anne Dia |
First Address | Kalamazoo, MI 49048-1923 |
Second Address | Kalamazoo, MI 49048-1923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2015 |
Last Update Date | 10/08/2015 |