Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | OI60214664 | WA |
N | 222Z00000X | Podiatrist | OI60214664 | WA |
Y | 224P00000X | Prosthetist | PS60214748 | WA |
NPI | 1346533445 |
---|---|
Provider Name | Dawn Marie Aubertin |
First Address | Bremerton, WA 98310-4202 |
Second Address | Bremerton, WA 98310-4202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2011 |
Last Update Date | 23/05/2011 |