Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND-584 | CA |
NPI | 1003243395 |
---|---|
Provider Name | Dr. Joanne Gatlin |
First Address | Long Beach, CA 90814-1643 |
Second Address | Long Beach, CA 90814-2651 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2013 |
Last Update Date | 01/10/2013 |