Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 05-866 | AZ |
N | 175F00000X | Naturopath | 099.0000260 | VT |
NPI | 1043489545 |
---|---|
Provider Name | Kimberly Nguyen |
First Address | Tampa, FL 33625-4056 |
Second Address | Tampa, FL 33625-4056 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2008 |
Last Update Date | 30/08/2011 |