Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1063021301 |
---|---|
Provider Name | Dr. Savannah K Bukant |
First Address | Kenmore, WA 98028 |
Second Address | Kenmore, WA 98028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2020 |
Last Update Date | 22/07/2020 |