Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 85 | AK |
NPI | 1073883856 |
---|---|
Provider Name | Dr. Marion Elise Clement |
First Address | Anchorage, AK 99503-4146 |
Second Address | Anchorage, AK 99503-4146 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2012 |
Last Update Date | 10/01/2012 |