Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60189964 | WA |
NPI | 1073816377 |
---|---|
Provider Name | Jamine Rebecca Blesoff |
First Address | Seattle, WA 98178-0193 |
Second Address | Seattle, WA 98118-1427 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2010 |
Last Update Date | 01/12/2011 |