Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND-328 | HI |
NPI | 1093479651 |
---|---|
Provider Name | Michelle Wells |
First Address | Honolulu, HI 96813-3306 |
Second Address | Honolulu, HI 96813-3306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2021 |
Last Update Date | 28/10/2021 |