Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | MA00024311 | WA |
NPI | 1134305790 |
---|---|
Provider Name | Mr. Shawn M Hudson |
First Address | Spokane, WA 99202-1835 |
Second Address | Spokane, WA 99202-1835 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2008 |
Last Update Date | 14/01/2008 |