Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1487 | WA |
NPI | 1154545861 |
---|---|
Provider Name | Dr. Stacie Marie Wells |
First Address | Marysville, WA 98270-5028 |
Second Address | Marysville, WA 98270-5028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 16/10/2007 |