Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | MA00024176 | WA |
NPI | 1902059082 |
---|---|
Provider Name | Gae Gilhousen |
First Address | Gig Harbor, WA 98329 |
Second Address | Seattle, WA 98125 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2008 |
Last Update Date | 03/11/2008 |