Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 603326887 | WA |
NPI | 1992132047 |
---|---|
Provider Name | Ms. Jimia Rae Cain |
First Address | Kennewick, WA 99336-2905 |
Second Address | Kennewick, WA 99336-2905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2013 |
Last Update Date | 03/10/2013 |