Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1629524418 |
---|---|
Provider Name | Ms. Sheila Rochelle Paige |
First Address | Los Angeles, CA 90047-1931 |
Second Address | Los Angeles, CA 90047-1931 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2016 |
Last Update Date | 31/08/2016 |