Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 05-856 | AZ |
NPI | 1013178060 |
---|---|
Provider Name | Amber G Belt |
First Address | Flagstaff, AZ 86001-3027 |
Second Address | Flagstaff, AZ 86001-8600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 22/06/2020 |