Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 10-1203 | AZ |
N | 175F00000X | Naturopath | NT60163126 | WA |
N | 175L00000X | Homeopath | 10-1203 | AZ |
NPI | 1669549929 |
---|---|
Provider Name | Mrs. Deeann Grimes Saber |
First Address | Tucson, AZ 85719-1301 |
Second Address | Tucson, AZ 85719-1301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 27/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10-1203 | NATUROPATHIC DOCTOR LICENSE (01) | AZ |
60172635 | UBI (01) | WA |
NT60163126 | ND LICENSE WA (01) | WA |
P15997029 | AZCORP NUMBER (01) | AZ |