Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60513721 | WA |
NPI | 1053716001 |
---|---|
Provider Name | Li Yang |
First Address | Seattle, WA 98105-4093 |
Second Address | Seattle, WA 98105-4093 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2014 |
Last Update Date | 01/08/2017 |