Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1035 | MN |
NPI | 1033554167 |
---|---|
Provider Name | Dr. Nicole Marie Dotson |
First Address | Alexandria, MN 56308-5091 |
Second Address | Alexandria, MN 56308-5091 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2013 |
Last Update Date | 02/05/2013 |