Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1083191324 |
---|---|
Provider Name | Dr. Michelle Lynn Kent |
First Address | Auburn, WA 98001-9011 |
Second Address | Tacoma, WA 98405-1954 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2018 |
Last Update Date | 19/07/2018 |