Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 099.0126070 | VT |
NPI | 1073983839 |
---|---|
Provider Name | Nanci Miklowski |
First Address | Novelty, OH 44072-9741 |
Second Address | Beachwood, OH 44122 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2015 |
Last Update Date | 22/08/2018 |