Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 24461 | CA |
NPI | 1861831919 |
---|---|
Provider Name | Steven Louis Ferraro |
First Address | Apple Valley, CA 92307-3212 |
Second Address | Apple Valley, CA 92307-3212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2013 |
Last Update Date | 14/03/2014 |