Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | ND 100160 | CT |
NPI | 1912323676 |
---|---|
Provider Name | Patricia Salazar |
First Address | Seattle, WA 98168-2044 |
Second Address | Seattle, WA 98168-2044 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2014 |
Last Update Date | 05/03/2014 |