Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 099.0088763 | VT |
NPI | 1144655416 |
---|---|
Provider Name | Dr. Laila Claire Tomsovic |
First Address | Haydenville, MA 01039-9700 |
Second Address | Brattleboro, VT 05301-6093 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2013 |
Last Update Date | 26/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1022342 | (05) | VT |