Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 05900 | PA |
NPI | 1023294618 |
---|---|
Provider Name | Miss Jennifer M Hess |
First Address | Harrisburg, PA 17109-4444 |
Second Address | Harrisburg, PA 17109-4444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2008 |
Last Update Date | 14/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
225A00000X | (05) | PA |