Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | MA60014486 | WA |
NPI | 1851529085 |
---|---|
Provider Name | Ms. Brandi Kathleen Amsden |
First Address | Pullman, WA 99163-2161 |
Second Address | Pullman, WA 99163-2161 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2009 |
Last Update Date | 15/07/2011 |