Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath |
NPI | 1306000740 |
---|---|
Provider Name | Rina Valia |
First Address | San Mateo, CA 94403-2730 |
Second Address | San Mateo, CA 94403-2730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2008 |
Last Update Date | 17/04/2020 |