Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND-430 | CA |
NPI | 1083914683 |
---|---|
Provider Name | Danielle Marie Schwaderer Kettler |
First Address | Sonoma, CA 95476-7046 |
Second Address | Sonoma, CA 95476-7046 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2010 |
Last Update Date | 19/04/2017 |