Autumn Lyn Waters LMT

NPI 1407138746 - Homeopath - 175L00000X

NPI Details
NPI 1407138746
Gender Female
Enumeration Date 09/13/2011
Last Updated 09/13/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
417 LANCASTER DR NE
SALEM OR, 97301-4729, US
Phone (503) 371-4968
Fax
Business Location
417 LANCASTER DR NE
SALEM OR, 97301-4729, US
Phone (503) 371-4968
Fax
Toxanomy
Taxonomy Code 175L00000X
License State Oregon
License Number LMT 17282
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According to our database, Ms. Autumn Lyn Waters LMT NPI is 1407138746, taxonomy code is 175L00000X and license number is LMT 17282, license state is located at Oregon. Autumn Lyn Waters LMT physically located at 417 Lancaster Dr Ne, Salem OR, 97301-4729. NPI Number Autumn Lyn Waters LMT has the Individual type.

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1407138746 NPI number is provided on an as is basis without warranty of any kind. 1407138746 is maintained by the National Plan & Provider Enumeration System. The contents of Autumn Lyn Waters LMT are for informational purposes only.