Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT61009640 | WA |
NPI | 1083257232 |
---|---|
Provider Name | Dr. Liubov Evmeshkina |
First Address | Bothell, WA 98012-6499 |
Second Address | Everett, WA 98208-5120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2019 |
Last Update Date | 21/10/2019 |