Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1811214836 |
---|---|
Provider Name | Mardi Tuttle Biernat |
First Address | Lansdale, PA 19446-7412 |
Second Address | Lansdale, PA 19446-7412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2010 |
Last Update Date | 30/04/2010 |