Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 00000912 | WA |
NPI | 1013210749 |
---|---|
Provider Name | Dr. Alexandra Gayek |
First Address | Olga, WA 98279-0522 |
Second Address | Olga, WA 98279 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2010 |
Last Update Date | 20/12/2010 |