Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT675 | WA |
NPI | 1023151529 |
---|---|
Provider Name | Joanna T Forwell |
First Address | Seattle, WA 98109-2755 |
Second Address | Seattle, WA 98109-2755 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 08/07/2007 |