Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1043689862 |
---|---|
Provider Name | Allison Egan |
First Address | Seattle, WA 98199-2212 |
Second Address | Seattle, WA 98115-6958 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2015 |
Last Update Date | 26/11/2021 |