Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 17413 | CA |
NPI | 1568843274 |
---|---|
Provider Name | Stephanie Zankman |
First Address | Covina, CA 91724-4043 |
Second Address | Milpitas, CA 95035-5119 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2015 |
Last Update Date | 27/12/2021 |