Provider Demographics
NPI:1740654649
Name:LANGDON, ARIANA (ND)
Entity type:Individual
Prefix:DR
First Name:ARIANA
Middle Name:
Last Name:LANGDON
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:S5725 SIDIE HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:VIROQUA
Mailing Address - State:WI
Mailing Address - Zip Code:54665-8707
Mailing Address - Country:US
Mailing Address - Phone:206-356-3939
Mailing Address - Fax:
Practice Address - Street 1:3541 OCEAN VIEW BLVD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1211
Practice Address - Country:US
Practice Address - Phone:206-359-0094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-17
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60590781175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath