Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | WA |
NPI | 1053787911 |
---|---|
Provider Name | Dr. Elena V Zinkov |
First Address | Seattle, WA 98115-8618 |
Second Address | Seattle, WA 98115-8618 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2015 |
Last Update Date | 14/08/2015 |