Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | N610 | CA |
N | 175F00000X | Naturopath | NT60262528 | WA |
NPI | 1073883070 |
---|---|
Provider Name | Donna Hanna |
First Address | Mission Viejo, CA 92691-6368 |
Second Address | Jounieh, 000 000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2012 |
Last Update Date | 05/02/2014 |