Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1614 | WA |
NPI | 1023297272 |
---|---|
Provider Name | Dr. Robin A Reddeman |
First Address | Seattle, WA 98124-1936 |
Second Address | Seattle, WA 98103-8004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2007 |
Last Update Date | 26/03/2009 |