Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60107523 | WA |
NPI | 1073835468 |
---|---|
Provider Name | Allegra Hart |
First Address | Wenatchee, WA 98801-2828 |
Second Address | Wenatchee, WA 98801-2828 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2010 |
Last Update Date | 25/02/2010 |