Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 60257523 | WA |
NPI | 1144599564 |
---|---|
Provider Name | Dr. Hans Culhane Jangaard |
First Address | Freeland, WA 98249-0130 |
Second Address | Freeland, WA 98249-9456 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2011 |
Last Update Date | 14/12/2011 |