Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 000538 | CT |
N | 175F00000X | Naturopath | 0053 | DC |
NPI | 1003203258 |
---|---|
Provider Name | Dr. Patricia Diefenbach |
First Address | Alexandria, VA 22301-1302 |
Second Address | Fairfax Station, VA 22039-1819 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2015 |
Last Update Date | 03/03/2020 |