Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND-290 | CA |
NPI | 1083730287 |
---|---|
Provider Name | Ann M Sura |
First Address | Crystal Bay, NV 89402-0363 |
Second Address | Kings Beach, CA 96143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 20/05/2009 |