Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 60769639 | WA |
NPI | 1114431160 |
---|---|
Provider Name | Mrs. Jennifer Harrison |
First Address | Seattle, WA 98107-3293 |
Second Address | Seattle, WA 98107-3293 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2017 |
Last Update Date | 29/11/2017 |