Provider Demographics
NPI:1275654477
Name:ZENTZ, JOCELYN ELSA (ND)
Entity Type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:ELSA
Last Name:ZENTZ
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10031 MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-3450
Mailing Address - Country:US
Mailing Address - Phone:425-518-6150
Mailing Address - Fax:
Practice Address - Street 1:10031 MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3450
Practice Address - Country:US
Practice Address - Phone:425-518-6150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACA00001021175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath