Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1083250724 |
---|---|
Provider Name | Dwight Lee Rice |
First Address | Huntsville, AL 35801-5935 |
Second Address | Huntsville, AL 35801-5935 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2019 |
Last Update Date | 18/11/2019 |