Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 61938137100 | UT |
NPI | 1104058056 |
---|---|
Provider Name | Dr. Nicola Dehlinger |
First Address | Durango, CO 81301-4912 |
Second Address | Durango, CO 81301-5261 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2009 |
Last Update Date | 09/12/2019 |