Provider Demographics
NPI:1316153877
Name:HOMER, VICTORIA M (ND)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:M
Last Name:HOMER
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 1:414 N BENTON AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-5040
Mailing Address - Country:US
Mailing Address - Phone:406-459-6061
Mailing Address - Fax:406-495-0560
Practice Address - Street 1:414 N BENTON AVE
Practice Address - Street 2:SUITE F
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-5040
Practice Address - Country:US
Practice Address - Phone:406-459-6061
Practice Address - Fax:406-495-0560
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT51175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath