Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT61237817 | WA |
NPI | 1013674357 |
---|---|
Provider Name | Constance Uribe |
First Address | Cle Elum, WA 98922-0777 |
Second Address | Cle Elum, WA 98922-8805 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2021 |
Last Update Date | 22/11/2021 |