Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 5802191-7100 | UT |
NPI | 1104895069 |
---|---|
Provider Name | Dr. Victoria Loasa Sucher |
First Address | Provo, UT 84604-4746 |
Second Address | Provo, UT 84604-4746 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 06/08/2014 |