Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1073289112 |
---|---|
Provider Name | Brandie Diane Carey |
First Address | Bothell, WA 98021-6803 |
Second Address | Snohomish, WA 98290-2827 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2021 |
Last Update Date | 18/08/2021 |