Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 99-0000218 | VT |
NPI | 1144558925 |
---|---|
Provider Name | Mr. Glenn Ramon Finley |
First Address | Brattleboro, VT 05301-9705 |
Second Address | Brattleboro, VT 05301-9705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2009 |
Last Update Date | 06/12/2009 |