Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1053929802 |
---|---|
Provider Name | Dr. Ariel Logan Rost |
First Address | Okanogan, WA 98840-1340 |
Second Address | Brewster, WA 98812-3403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2020 |
Last Update Date | 01/10/2021 |