Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT00001617 | WA |
NPI | 1043475254 |
---|---|
Provider Name | Dr. Rebecca Maya Parker |
First Address | Bellingham, WA 98225-3203 |
Second Address | Bellingham, WA 98225-3203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2008 |
Last Update Date | 28/07/2008 |