Individual
ELISA L MINERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
1202 S 2ND ST, SUITE D, MOUNT VERNON, WA 98273-4858
(503) 347-7385
Mailing address
1202 S 2ND ST, SUITE D, MOUNT VERNON, WA 98273-4858
(503) 347-7385
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60301104
WA
Other
Enumeration date
11/09/2012
Last updated
09/22/2013
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