Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 95001439 | CA |
NPI | 1003210493 |
---|---|
Provider Name | Vanesa Francis Cheng |
First Address | San Jose, CA 95126-2203 |
Second Address | Bakersfield, CA 93301-3348 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2014 |
Last Update Date | 03/06/2016 |