Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND954 | CA |
NPI | 1144735226 |
---|---|
Provider Name | Sara Zare Kavkani |
First Address | Alamo, CA 94507-2252 |
Second Address | San Francisco, CA 94123-3403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2017 |
Last Update Date | 11/12/2017 |