| NPI | 1285030239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANAE KELLY MULLANE Naturopathic Resident 928-830-5219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA NT60503141) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |