Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 16-1588 | AZ |
NPI | 1114478989 |
---|---|
Provider Name | Dr. Ann Charlotte Margareta Valentin |
First Address | Prescott, AZ 86303-7022 |
Second Address | Prescott, AZ 86303-7022 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2016 |
Last Update Date | 17/10/2016 |