Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 803 | OR |
Y | 175F00000X | Naturopath | NP336 | ME |
NPI | 1104989854 |
---|---|
Provider Name | Dr. Deborah Daigle Moskowitz |
First Address | Camden, ME 04843-1906 |
Second Address | Camden, ME 04843-1906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2006 |
Last Update Date | 14/12/2013 |