Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 0019000026 | VA |
NPI | 1003986910 |
---|---|
Provider Name | Margaret Moseley |
First Address | Mclean, VA 22102-1603 |
Second Address | Vienna, VA 22182-2226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 08/07/2007 |