Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1104498120 |
---|---|
Provider Name | Mertaly Francisca Martinez |
First Address | Seattle, WA 98144-3178 |
Second Address | Seattle, WA 98144-3178 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2021 |
Last Update Date | 11/07/2021 |