Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT00001074 | WA |
NPI | 1124167762 |
---|---|
Provider Name | Wendy Jo Weber |
First Address | Bothell, WA 98021-8350 |
Second Address | Seattle, WA 98103-8004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 08/07/2007 |