Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 02-699 | AZ |
NPI | 1104036169 |
---|---|
Provider Name | Dr. Jeannine Lynn Maschaki |
First Address | Cranberry Twp, PA 16066-0621 |
Second Address | Cranberry Twp, PA 16066-7516 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 08/07/2007 |