Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 161537 | AZ |
NPI | 1073962155 |
---|---|
Provider Name | Dr. Marie-Elaine Cousineau-Cote |
First Address | Scottsdale, AZ 85260-6601 |
Second Address | Scottsdale, AZ 85253-4546 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2016 |
Last Update Date | 08/06/2016 |