Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 06-933 | AZ |
NPI | 1144788613 |
---|---|
Provider Name | Dr. Alice A Alibrio |
First Address | Cottonwood, AZ 86326-3817 |
Second Address | Cottonwood, AZ 86326-3817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2019 |
Last Update Date | 04/03/2019 |