Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 15091 | OR |
NPI | 1962633768 |
---|---|
Provider Name | Britnii Leigh-Anne Isaacks |
First Address | Salem, OR 97302-3312 |
Second Address | Salem, MARION 97302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2009 |
Last Update Date | 29/07/2009 |