Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND-17 | CA |
NPI | 1043396062 |
---|---|
Provider Name | Stephenie V Riley |
First Address | Truckee, CA 96161-0344 |
Second Address | Truckee, CA 96161-0344 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 24/11/2015 |