Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | MA00019864 | WA |
NPI | 1629105614 |
---|---|
Provider Name | Mrs. Maricel L Morgensen |
First Address | Tacoma, WA 98422-3317 |
Second Address | Federal Way, WA 98003-9028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 08/07/2007 |