Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT00001382 | WA |
NPI | 1114045549 |
---|---|
Provider Name | Eleonora Naydis |
First Address | Bothell, WA 98012-6268 |
Second Address | Woodinville, WA 98072-3519 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 08/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
203689792 | TAX ID (01) | WA |