Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | 326506375 | IL |
N | 175F00000X | Naturopath | 826506375 | NM |
NPI | 1356527550 |
---|---|
Provider Name | Dr. Chloe F Gundst |
First Address | Las Vegas, NV 89169-9307 |
Second Address | Las Vegas, NV 89169-9307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2008 |
Last Update Date | 07/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
326506375 | DUNS CCR (01) | NV |