Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 02-677 | AZ |
NPI | 1043359326 |
---|---|
Provider Name | Shahrzad Z Orona |
First Address | Phoenix, AZ 85021-4105 |
Second Address | Tempe, AZ 85283-5011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2007 |
Last Update Date | 30/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
AZ0154011 | (02) | AZ |