Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND465 | CA |
NPI | 1043716491 |
---|---|
Provider Name | Yolanda Paredes |
First Address | Chula Vista, CA 91910-6726 |
Second Address | Mill Valley, CA 94941-1903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2018 |
Last Update Date | 04/04/2018 |