Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | MA13071 | WA |
NPI | 1023334760 |
---|---|
Provider Name | Miss Karisa Marie Ciolli |
First Address | Richland, WA 99352-3444 |
Second Address | Richland, WA 99352-3578 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2010 |
Last Update Date | 19/04/2010 |