Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | NT 60020664 | WA |
NPI | 1013172451 |
---|---|
Provider Name | Dr. Teresa Marie Evans |
First Address | Mill Creek, WA 98012-1500 |
Second Address | Mill Creek, WA 98012-1500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2008 |
Last Update Date | 07/04/2017 |