Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND670 | CA |
NPI | 1124549753 |
---|---|
Provider Name | Sarah Smith |
First Address | Huntington Beach, CA 92647-2517 |
Second Address | Huntington Beach, CA 92647-2517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2017 |
Last Update Date | 05/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ND670 | NATUROPATHIC MEDICINE COMMITTEE (01) | CA |