Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 21-1678 | AZ |
NPI | 1073275327 |
---|---|
Provider Name | Danni Nicole Hamilton |
First Address | Saint Clair Shores, MI 48080-2782 |
Second Address | Saint Clair Shores, MI 48080-2782 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2021 |
Last Update Date | 13/10/2021 |