Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60122323 | WA |
NPI | 1083940050 |
---|---|
Provider Name | Dr. Eric Andreu Semsak |
First Address | Issaquah, WA 98027-3201 |
Second Address | Issaquah, WA 98027-3201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2009 |
Last Update Date | 16/11/2009 |