Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 099.0063572 | VT |
NPI | 1023387214 |
---|---|
Provider Name | Dr. Danika Sicard |
First Address | Belchertown, MA 01007-9745 |
Second Address | Belchertown, MA 01007-9745 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2011 |
Last Update Date | 17/11/2012 |