Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 0028 | NH |
NPI | 1063055770 |
---|---|
Provider Name | Alyssa Maria Christoforou |
First Address | Hampton, NH 03842-3482 |
Second Address | Portsmouth, NH 03801-4161 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2019 |
Last Update Date | 25/10/2019 |