Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 12-1299 | AZ |
NPI | 1013328749 |
---|---|
Provider Name | Melissa Hughes |
First Address | Bixby, OK 74008-4601 |
Second Address | Bixby, OK 74008-4601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2014 |
Last Update Date | 15/05/2014 |