Provider Demographics
NPI:1821843707
Name:FINESTONE, ANGELIQUE IVANA (PHD)
Entity type:Individual
Prefix:DR
First Name:ANGELIQUE
Middle Name:IVANA
Last Name:FINESTONE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ANGELIQUE
Other - Middle Name:IVANA
Other - Last Name:CORPUZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:520 LA BAREE DR
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-5732
Mailing Address - Country:US
Mailing Address - Phone:209-482-3746
Mailing Address - Fax:
Practice Address - Street 1:4150 CLEMENT ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-1563
Practice Address - Country:US
Practice Address - Phone:415-221-4810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program