Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 145 | HI |
Y | 175F00000X | Naturopath | 946 | OR |
NPI | 1063631471 |
---|---|
Provider Name | Dr. Sierra L. Levy |
First Address | Kihei, HI 96753-7838 |
Second Address | Kihei, HI 96753-7834 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 28/05/2019 |