Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60620304 | WA |
NPI | 1053786384 |
---|---|
Provider Name | Emily Mohar |
First Address | Seattle, WA 98117-4237 |
Second Address | Seattle, WA 98117-4237 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2015 |
Last Update Date | 11/12/2015 |