Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1194222117 |
---|---|
Provider Name | Donna Lee D'antuono |
First Address | Hamilton, MT 59840-9605 |
Second Address | Hamilton, MT 59840-9605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2018 |
Last Update Date | 06/04/2018 |