Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60423986 | WA |
NPI | 1144642018 |
---|---|
Provider Name | Jadie Ko |
First Address | Bellevue, WA 98006-5261 |
Second Address | Bellevue, WA 98006-5261 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2014 |
Last Update Date | 13/01/2014 |