Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 432 | WA |
NPI | 1144370271 |
---|---|
Provider Name | Laura Alice Shelton |
First Address | Bellingham, WA 98225-3107 |
Second Address | Bellingham, WA 98225-3107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 08/07/2007 |