Provider Demographics
NPI:1346340486
Name:ZAWALICK, ZOE ANN (ND)
Entity Type:Individual
Prefix:DR
First Name:ZOE
Middle Name:ANN
Last Name:ZAWALICK
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2 JAMES WAY STE 107B
Mailing Address - Street 2:
Mailing Address - City:PISMO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93449-4974
Mailing Address - Country:US
Mailing Address - Phone:805-295-6718
Mailing Address - Fax:805-556-4883
Practice Address - Street 1:2 JAMES WAY STE 107B
Practice Address - Street 2:
Practice Address - City:PISMO BEACH
Practice Address - State:CA
Practice Address - Zip Code:93449-4974
Practice Address - Country:US
Practice Address - Phone:805-295-6718
Practice Address - Fax:805-556-4883
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-69175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath