Individual
DR. HOUTANEH HOUTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NMD
Contact information
Practice address
5 W CHESTNUT AVE, MERCHANTVILLE, NJ 08109-2309
(856) 316-4507
Mailing address
402B MULBERRY CV, MOUNT LAUREL, NJ 08054-2732
(609) 513-7913
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
19-1814
AZ
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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