Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 21-1671 | AZ |
NPI | 1033863980 |
---|---|
Provider Name | Dr. Laurena Patarkatsi |
First Address | Scottsdale, AZ 85251-1275 |
Second Address | Scottsdale, AZ 85255-3409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2022 |
Last Update Date | 09/02/2022 |