| NPI | 1831453828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERENDA JOELLE RICHARDSON Owner, Physician 360-353-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: WA NT00001372) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |