Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist |
NPI | 1043785777 |
---|---|
Provider Name | Natalie Kirsten Harold |
First Address | Edmonds, WA 98020-8449 |
Second Address | Edmonds, WA 98020-8449 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2018 |
Last Update Date | 09/10/2018 |