Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | NT00001005 | WA |
NPI | 1073636668 |
---|---|
Provider Name | Cheryl Ann Plaza |
First Address | Olympia, WA 98507 |
Second Address | Olympia, WA 98502-5349 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2007 |
Last Update Date | 08/07/2007 |