Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 10-1199 | AZ |
NPI | 1154632487 |
---|---|
Provider Name | Ashley Nichole Mayer |
First Address | Scottsdale, AZ 85254-2100 |
Second Address | Scottsdale, AZ 85254-2100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2010 |
Last Update Date | 01/07/2010 |