Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 20-1875 | AZ |
NPI | 1033738828 |
---|---|
Provider Name | Tarah Friedland |
First Address | Phoenix, AZ 85008-1427 |
Second Address | Phoenix, AZ 85008-1427 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2020 |
Last Update Date | 11/04/2020 |