Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1892 | OR |
NPI | 1013349380 |
---|---|
Provider Name | Dr. Rachelle Kristine Price |
First Address | Coon Rapids, MN 55433-5604 |
Second Address | Boulder, CO 80303-2358 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2013 |
Last Update Date | 08/08/2013 |