Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 19-1785 | AZ |
NPI | 1114488558 |
---|---|
Provider Name | Dr. Angie Hammer |
First Address | Chandler, AZ 85226-2364 |
Second Address | Chandler, AZ 85226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2019 |
Last Update Date | 17/01/2022 |