Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 16118 | CA |
NPI | 1083026223 |
---|---|
Provider Name | Yvonne K Scarlett |
First Address | San Diego, CA 92108 |
Second Address | San Diego, CA 92108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2014 |
Last Update Date | 20/11/2014 |