| NPI | 1053683052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY RAE GULLA Member 425-949-7018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT60188651) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00023350) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-02-06 |