Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT 60367796 | WA |
N | 176B00000X | Midwife | MW60263623 | WA |
NPI | 1114284221 |
---|---|
Provider Name | Christine Marie Jody Morlock |
First Address | Arlington, WA 98223-6971 |
Second Address | Arlington, WA 98223-9518 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2012 |
Last Update Date | 23/05/2013 |