Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60938411 | WA |
NPI | 1093227654 |
---|---|
Provider Name | Dr. Jinda Chaijinda |
First Address | Bellevue, WA 98005-2329 |
Second Address | Bellevue, WA 98005-2329 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2017 |
Last Update Date | 19/02/2021 |