Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 07-1013 | AZ |
Y | 175F00000X | Naturopath | ND-312 | CA |
NPI | 1043476377 |
---|---|
Provider Name | Dr. Michele R Raithel |
First Address | Folsom, CA 95630-4748 |
Second Address | Folsom, CA 95630-4748 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2008 |
Last Update Date | 23/07/2014 |