Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT61009015 | WA |
NPI | 1063054260 |
---|---|
Provider Name | Dr. Christine S Mcmanus |
First Address | Lynnwood, WA 98036-9019 |
Second Address | Kirkland, WA 98033-5665 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2019 |
Last Update Date | 09/10/2019 |