Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 14-1432 | AZ |
NPI | 1104298215 |
---|---|
Provider Name | Alma Navarro |
First Address | Phoenix, AZ 85006 |
Second Address | Phoenix, AZ 85006-2935 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2015 |
Last Update Date | 23/08/2019 |