Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1531 | WA |
NPI | 1104960350 |
---|---|
Provider Name | Melissa Marie Mccarty |
First Address | Seattle, WA 98105-3629 |
Second Address | Seattle, WA 98105-3629 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2007 |
Last Update Date | 08/12/2011 |