Provider Demographics
NPI:1669646667
Name:CAIN, LETITIA RENEE (ND)
Entity Type:Individual
Prefix:DR
First Name:LETITIA
Middle Name:RENEE
Last Name:CAIN
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 1:9807 ARROWSMITH AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-5904
Mailing Address - Country:US
Mailing Address - Phone:918-853-1591
Mailing Address - Fax:
Practice Address - Street 1:900 SW 16TH ST STE 100
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-2631
Practice Address - Country:US
Practice Address - Phone:425-204-7480
Practice Address - Fax:425-204-7489
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001126175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath