Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | ND-226 | HI |
Y | 175F00000X | Naturopath | ND164 | CA |
N | 175F00000X | Naturopath | NT 60134126 | WA |
NPI | 1043478829 |
---|---|
Provider Name | Dr. Kemberly Delellis |
First Address | Incline Village, NV 89450-6622 |
Second Address | Auburn, CA 95603-4807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2008 |
Last Update Date | 02/01/2013 |