Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 07-974 | AZ |
NPI | 1083826697 |
---|---|
Provider Name | Dr. Marianne Marchese |
First Address | Phoenix, AZ 85018-3589 |
Second Address | Phoenix, AZ 85018-3589 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 03/04/2020 |