Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1114492451 |
---|---|
Provider Name | Dr. Alissa Camilla Bill |
First Address | Kirkland, WA 98033-5947 |
Second Address | Kirkland, WA 98033-7002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2018 |
Last Update Date | 12/10/2018 |