Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60088404 | WA |
NPI | 1063748697 |
---|---|
Provider Name | Karen H La |
First Address | Renton, WA 98059-5779 |
Second Address | Redmond, WA 98052-7604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2009 |
Last Update Date | 15/03/2010 |