Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 13-1352 | AZ |
NPI | 1003243759 |
---|---|
Provider Name | Rachel Kushner |
First Address | Durham, NC 27707-5571 |
Second Address | Raleigh, NC 27609-7323 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2013 |
Last Update Date | 26/09/2013 |