Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XE0001X | Environmental Modification | OT00004330 | WA |
NPI | 1922175199 |
---|---|
Provider Name | Gerald E Cherney |
First Address | Bothell, WA 98021-8222 |
Second Address | Bothell, WA 98021-8222 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 10/01/2010 |