Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT00000804 | WA |
NPI | 1063645976 |
---|---|
Provider Name | Dr. Trisha O'donnell |
First Address | Oceanside, CA 92056-6361 |
Second Address | Oceanside, CA 92056-6361 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2009 |
Last Update Date | 25/08/2009 |