Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 001 | NH |
NPI | 1134454424 |
---|---|
Provider Name | Pamela J Herring |
First Address | Concord, NH 03301-4855 |
Second Address | Concord, NH 03301-4855 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2009 |
Last Update Date | 05/10/2009 |