Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 60652032 | WA |
NPI | 1013463751 |
---|---|
Provider Name | Dr. Juliette Sweet |
First Address | Jemez Springs, NM 87025-0021 |
Second Address | Jemez Springs, NM 87025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2016 |
Last Update Date | 16/07/2018 |