Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 00-566 | AZ |
NPI | 1134533607 |
---|---|
Provider Name | Dr. Valerie Olmsted |
First Address | Cottonwood, AZ 86326-3649 |
Second Address | Cottonwood, AZ 86326-3649 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2014 |
Last Update Date | 12/06/2014 |