Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | NT60404848 | WA |
Y | 176B00000X | Midwife | MW60402520 | WA |
NPI | 1003240920 |
---|---|
Provider Name | Ashley Skluzacek |
First Address | Bellevue, WA 98008-2460 |
Second Address | Everett, WA 98201-4189 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2013 |
Last Update Date | 11/08/2021 |