Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 19-1803 | AZ |
NPI | 1124679022 |
---|---|
Provider Name | Helena Coker |
First Address | Phoenix, AZ 85016-4673 |
Second Address | Phoenix, AZ 85016-4673 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2019 |
Last Update Date | 23/09/2019 |