Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 09-1146 | AZ |
NPI | 1104153717 |
---|---|
Provider Name | Dr. Angela Wojtowicz |
First Address | Sahuarita, AZ 85629-0770 |
Second Address | Tucson, AZ 85713-2003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2009 |
Last Update Date | 19/01/2011 |