Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60624602 | WA |
NPI | 1063870814 |
---|---|
Provider Name | Joy Chou |
First Address | Redmond, WA 98053-5885 |
Second Address | Redmond, WA 98053-5885 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2016 |
Last Update Date | 15/11/2016 |