Provider Demographics
NPI:1679737787
Name:DICK-KRONENBERG, LETITIA MARIE (ND)
Entity Type:Individual
Prefix:DR
First Name:LETITIA
Middle Name:MARIE
Last Name:DICK-KRONENBERG
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 1:1137 W GARLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205
Mailing Address - Country:US
Mailing Address - Phone:509-327-5143
Mailing Address - Fax:509-327-9813
Practice Address - Street 1:1137 W GARLAND AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205
Practice Address - Country:US
Practice Address - Phone:509-327-5143
Practice Address - Fax:509-327-9813
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00000633175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath