Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 06-948 | AZ |
NPI | 1053531483 |
---|---|
Provider Name | Dr. Colleen Huber |
First Address | Tempe, AZ 85283-1440 |
Second Address | Tempe, AZ 85283-1404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 08/07/2007 |