Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | MA60041691 | WA |
NPI | 1619121787 |
---|---|
Provider Name | Mrs. Sierra Dawn Seifert |
First Address | Bremerton, WA 98310-2885 |
Second Address | Bremerton, WA 98310-2885 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2008 |
Last Update Date | 15/11/2008 |