Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT61025149 | WA |
NPI | 1033750963 |
---|---|
Provider Name | Dr. Wendy Michelle Eidman |
First Address | Auburn, WA 98002 |
Second Address | Auburn, WA 98002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2019 |
Last Update Date | 11/02/2021 |