Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 114 | NH |
NPI | 1003213943 |
---|---|
Provider Name | Jacob Aguiar |
First Address | Portsmouth, NH 03801-4161 |
Second Address | Portsmouth, NH 03801-4161 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2014 |
Last Update Date | 20/11/2014 |