Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 175F00000X | MI |
N | 175L00000X | Homeopath | 175L00000X | MI |
NPI | 1831517036 |
---|---|
Provider Name | Naomi Darden |
First Address | Southfield, MI 48075-1875 |
Second Address | Southfield, MI 48075-1875 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2014 |
Last Update Date | 03/04/2014 |