Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1649930546 |
---|---|
Provider Name | Ronald Frank |
First Address | Rancho Cucamonga, CA 91730-5340 |
Second Address | Rancho Cucamonga, CA 91730-5340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2021 |
Last Update Date | 20/12/2021 |