| NPI | 1902348964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA JANE FONTANILLA RUIZ Naturopathic Medical Doctor 347-470-9766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath (Licence: AZ 161567) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |