Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 17-1653 | AZ |
NPI | 1043721053 |
---|---|
Provider Name | Dr. Jamie Zamora |
First Address | Phoenix, AZ 85032-6315 |
Second Address | Glendale, AZ 85301-2510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2017 |
Last Update Date | 17/10/2017 |