Provider Demographics
NPI:1306135173
Name:RAPP, CATHLEEN MICHELE (ND)
Entity type:Individual
Prefix:DR
First Name:CATHLEEN
Middle Name:MICHELE
Last Name:RAPP
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:216 MOUNTAIN VIEW AVE
Mailing Address - Street 2:#3
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94041-1195
Mailing Address - Country:US
Mailing Address - Phone:831-359-1329
Mailing Address - Fax:650-386-1312
Practice Address - Street 1:216 MOUNTAIN VIEW AVE
Practice Address - Street 2:#3
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94041-1195
Practice Address - Country:US
Practice Address - Phone:831-359-1329
Practice Address - Fax:650-386-1312
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-157175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath