Individual
EMMA MARIE THEISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
712 VILLAGE WAY, MONROE, WA 98927
(989) 506-4794
Mailing address
712 VILLAGE WAY, MONROE, WA 98272-2170
(989) 506-4794
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
WA
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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