Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1750940011 |
---|---|
Provider Name | Belinda Mcknight Mcknight |
First Address | Mount Laurel, NJ 08054-1838 |
Second Address | Mount Laurel, NJ 08054-1838 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2019 |
Last Update Date | 11/06/2019 |