Individual
MICHELLE ANN ANTONICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
916 S 3RD ST, MOUNT VERNON, WA 98273-4324
(360) 336-5658
(360) 336-5655
Mailing address
916 S 3RD ST, MOUNT VERNON, WA 98273-4324
(360) 336-5658
(360) 336-5658
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
00000988
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006831
—
WA
Enumeration date
01/30/2007
Last updated
09/12/2022
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