Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath | 0226 | AZ |
NPI | 1588841282 |
---|---|
Provider Name | Mrs. Kristin Grayce Mcgary |
First Address | Flagstaff, AZ 86001 |
Second Address | Flagstaff, AZ 86001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2008 |
Last Update Date | 24/01/2008 |