Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 19-1783 | AZ |
NPI | 1093276958 |
---|---|
Provider Name | Jessica Marie Schrand |
First Address | Chandler, AZ 85224-1674 |
Second Address | Chandler, AZ 85224-1674 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2019 |
Last Update Date | 13/12/2021 |