Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT00000693 | WA |
NPI | 1134134513 |
---|---|
Provider Name | Dr. Mary Eileen Stretch |
First Address | Seattle, WA 98122-5698 |
Second Address | Seattle, WA 98122-5698 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 19/05/2009 |