Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60897091 | WA |
N | 175L00000X | Homeopath |
NPI | 1295214740 |
---|---|
Provider Name | Dr. Jessica Brittney Gee Gardner |
First Address | Everett, WA 98204-0042 |
Second Address | Everett, WA 98204-6926 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2018 |
Last Update Date | 20/03/2019 |