Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 0014 | NH |
NPI | 1104314772 |
---|---|
Provider Name | Michelle Kristen Drains |
First Address | Concord, NC 28025-9003 |
Second Address | Concord, NC 28025-4732 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2018 |
Last Update Date | 28/04/2018 |