Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NP701 | ME |
NPI | 1144829953 |
---|---|
Provider Name | Dr. Hannah Freeman Smith |
First Address | Scarborough, ME 04074-8425 |
Second Address | Portland, ME 04101-2029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2020 |
Last Update Date | 22/10/2020 |