Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | MA 60303851 | WA |
NPI | 1013381375 |
---|---|
Provider Name | Heidi Merkel |
First Address | Lynnwood, WA 98036-7617 |
Second Address | Lynnwood, WA 98036-7617 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2015 |
Last Update Date | 23/11/2015 |