Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60113312 | WA |
NPI | 1023345394 |
---|---|
Provider Name | Dr. Dana Michelle Jean Comeslast |
First Address | Roy, WA 98580-8544 |
Second Address | Roy, WA 98580-8544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2009 |
Last Update Date | 07/11/2009 |