Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 12-1305 | AZ |
NPI | 1023384096 |
---|---|
Provider Name | Dr. Angelina Alejandro |
First Address | Scottsdale, AZ 85255-7412 |
Second Address | Scottsdale, AZ 85255-7412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2012 |
Last Update Date | 01/05/2013 |