Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | J0000035 | MD |
N | 175F00000X | Naturopath | NT00000913 | WA |
NPI | 1033197314 |
---|---|
Provider Name | Mrs. Cynthia Page Buxton |
First Address | Berlin, MD 21811-1055 |
Second Address | Berlin, MD 21811-1031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2006 |
Last Update Date | 10/04/2018 |