Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NP417 | ME |
NPI | 1083043020 |
---|---|
Provider Name | Paula Cluney |
First Address | Portland, ME 04101-5034 |
Second Address | Portland, ME 04101-5034 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2013 |
Last Update Date | 28/10/2016 |