Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | MA00016898 | WA |
NPI | 1407906472 |
---|---|
Provider Name | Gabriela Estrada Velazquez |
First Address | Seattle, WA 98106-3296 |
Second Address | Burien, WA 98166-1423 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 25/09/2008 |