Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1458 | OR |
NPI | 1073571006 |
---|---|
Provider Name | Dr. Julie Brush |
First Address | Van Nuys, CA 91406-5710 |
Second Address | Encino, CA 91316-2802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 03/11/2021 |