Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 09-1154 | AZ |
NPI | 1043547300 |
---|---|
Provider Name | Dr. Elizabeth G.a. Rice |
First Address | Mesa, AZ 85213-4008 |
Second Address | Mesa, AZ 85213-4008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2009 |
Last Update Date | 16/03/2014 |