Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NONE NEEDED | CO |
N | 175M00000X | Lay Midwife | NA |
NPI | 1053601625 |
---|---|
Provider Name | Kay Lee Patterson-Ashby |
First Address | Grand Junction, CO 81501-6826 |
Second Address | Grand Junction, CO 81504-5774 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2011 |
Last Update Date | 15/04/2011 |