| NPI | 1205220837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE ANGELA DELA ROSA FONG Owner/Naturopathic Doctor 650-964-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA ND656) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |