Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60867932 | WA |
NPI | 1023594538 |
---|---|
Provider Name | Jennalyn Mcbride |
First Address | Marysville, WA 98270-5028 |
Second Address | Marysville, WA 98270-5028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2018 |
Last Update Date | 08/11/2018 |